Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS003262L | PA |
N | 207QA0401X | Family Doctor - Addiction Medicine | OS003262L | PA |
NPI | 1083612485 |
---|---|
Provider Name | Dr. Michael A Ziev |
First Address | Philadelphia, PA 19152-1827 |
Second Address | Philadelphia, PA 19152-1827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2005 |
Last Update Date | 14/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006134130001 | (05) | PA |
013924461 | MEDICARE RAILROAD (01) | |
0613413 | (05) | PA |
1026001 | KEYSTONE MERCY (01) | PA |
1497030 | PERSONAL CHOICE IBC (01) | PA |
21567 | HEALTHPARTNERS (01) | PA |
2193875001 | KEYSTONE (01) | PA |
2425558 | UNITEDHEALTHCARE (01) | |
5677297 | AETNA PPO (01) | |
6116497 | CIGNA (01) | PA |
D77403 | (02) | |
OS003262L | LICENSE (01) | PA |
ZI1497030 | HIGHMARK (01) | PA |