Individual
ALEXA MARINA MEGALUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 359-6656
(412) 359-6653
Mailing address
2566 HAYMAKER RD STE 203, MONROEVILLE, PA 15146-3554
(412) 858-7088
(412) 858-7016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061391
PA
363AS0400X
Surgical Physician Assistant
MA061391
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103744162
—
PA
01
—
14638849
CAQH
—
Enumeration date
01/02/2020
Last updated
10/30/2023
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