Basic Information
Provider Information
NPI: 1801141569
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAHARIA
FirstName: ALEXANDRE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 LIBERTY AVE APT 608
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152221210
CountryCode: US
TelephoneNumber: 9177336743
FaxNumber:  
Practice Location
Address1: 320 E NORTH AVE
Address2: 320 EAST NORTH AVE
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123594971
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2012
LastUpdateDate: 07/18/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMT202926PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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