Provider Demographics
NPI:1144278730
Name:INTEGRATED PULMONARY PHYSICIANS LTD
Entity type:Organization
Organization Name:INTEGRATED PULMONARY PHYSICIANS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIKOS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-322-7202
Mailing Address - Street 1:490 EAST NORTH AVE
Mailing Address - Street 2:SUITE 303 INTEGRATED PULMONARY PHYSICIANS LTD
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-322-5322
Mailing Address - Fax:412-322-5324
Practice Address - Street 1:490 EAST NORTH AVE
Practice Address - Street 2:SUITE 300-301 INTEGRATED PULMONARY PHYSICIANS LTD
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-322-7202
Practice Address - Fax:412-322-5324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017497390004Medicaid
PA0017497390004Medicaid