Provider Demographics
NPI:1952374142
Name:FINIKIOTIS, MICHAEL
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:FINIKIOTIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CRAIG MEDICAL ASSOCIATES
Mailing Address - Street 2:300 HALKET STREET SUITE 1731
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-422-5790
Mailing Address - Fax:412-422-5278
Practice Address - Street 1:CRAIG MEDICAL ASSOCIATES
Practice Address - Street 2:300 HALKET STREET SUITE 1731
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-422-5790
Practice Address - Fax:412-422-5278
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045319L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA716868PD9Medicare ID - Type Unspecified
PAF21906Medicare UPIN