Provider Demographics
NPI:1346472933
Name:ZEFIROVA, JULIA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:ZEFIROVA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 5TH AVE STE 5B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3403
Mailing Address - Country:US
Mailing Address - Phone:412-648-6406
Mailing Address - Fax:412-648-6399
Practice Address - Street 1:1 NOLTE DR
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7111
Practice Address - Country:US
Practice Address - Phone:724-906-4832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT216873207R00000X
NMTM2022-1449207R00000X
PAMD470835207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT9896877OtherAETNA
CT02398292OtherCOVENTRY
CT051075OtherCONNECTICARE
CT008040387Medicaid
CT715505OtherWELLCARE
CT1169038OtherUSA
CTPENDINGOtherRR MEDICARE
CT051075OtherCONNECTICARE