Provider Demographics
NPI:1457631467
Name:GEORGIEVSKAYA, ELENA (MD)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:GEORGIEVSKAYA
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 1:114 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1337
Mailing Address - Country:US
Mailing Address - Phone:412-925-4515
Mailing Address - Fax:
Practice Address - Street 1:27 HECKEL RD STE 200
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1673
Practice Address - Country:US
Practice Address - Phone:412-262-4694
Practice Address - Fax:412-262-5920
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427861207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine