Provider Demographics
NPI:1730344748
Name:ZDRALE, NIKOLAI SAVA (MD)
Entity type:Individual
Prefix:DR
First Name:NIKOLAI
Middle Name:SAVA
Last Name:ZDRALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1125 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4426
Mailing Address - Country:US
Mailing Address - Phone:724-773-8900
Mailing Address - Fax:724-770-7947
Practice Address - Street 1:1691 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MT LEBANON
Practice Address - State:PA
Practice Address - Zip Code:15228-1643
Practice Address - Country:US
Practice Address - Phone:412-835-6900
Practice Address - Fax:412-835-6933
Is Sole Proprietor?:No
Enumeration Date:2008-07-20
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT193664390200000X
PAMT-193664207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program