Individual
MARK S GEORGIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 DELAFIELD RD, SUITE 3050, PITTSBURGH, PA 15215-3205
(412) 781-3744
(412) 781-3793
Mailing address
2 HOT METAL ST, QUANTUM ONE, N430, PITTSBURGH, PA 15203-2348
(412) 432-7706
(412) 432-7691
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD061189L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016407830005
—
PA
01
—
10765060
CAQH
PA
01
—
902487
HIGHMARK BS
PA
Enumeration date
01/28/2006
Last updated
12/06/2013
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