Individual
OLGA SHABALOV
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 CENTRE AVE, STE 703, PITTSBURGH, PA 15232-1327
(412) 687-8300
(412) 687-8391
Mailing address
5200 CENTRE AVE, STE 703, PITTSBURGH, PA 15232-1327
(412) 687-8300
(412) 687-8391
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD062426L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018906050001
—
PA
05
—
1809055000
—
WV
Enumeration date
06/14/2005
Last updated
07/08/2007
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