Provider Demographics
NPI:1982931044
Name:WILKINSON, SUSAN ZELDA (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ZELDA
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5889 FORBES AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-4601
Mailing Address - Country:US
Mailing Address - Phone:412-618-3010
Mailing Address - Fax:412-618-3011
Practice Address - Street 1:5889 FORBES AVE STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-4601
Practice Address - Country:US
Practice Address - Phone:412-618-3010
Practice Address - Fax:412-618-3011
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041980E207R00000X
AZ42190207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ478813Medicaid
AZ42190OtherAZ MEDICAL LICENSE
AZ478813Medicaid