Provider Demographics
NPI:1952363525
Name:ZAHALSKY, ANDREW J (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:ZAHALSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 WATTERSON CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3149
Mailing Address - Country:US
Mailing Address - Phone:724-413-9813
Mailing Address - Fax:724-348-8624
Practice Address - Street 1:200 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3783
Practice Address - Country:US
Practice Address - Phone:724-838-1900
Practice Address - Fax:724-838-5620
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418239207RX0202X
PAVP006402M363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018940410004Medicaid
PA085188OtherHEALTH AMERICA
PA1390388OtherBLUE SHIELD
PA390147Other390147
PA130506OtherUNISON
PA2937436OtherAETNA
PA310804OtherUPMC
PA082184Medicare ID - Type Unspecified
PA130506OtherUNISON