Individual
MICHAEL CHIGOZIRI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 PENN AVE STE 2464, PITTSBURGH, PA 15224-1334
(412) 647-0104
Mailing address
4401 PENN AVE STE 2464, PITTSBURGH, PA 15224-1334
(412) 861-8862
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD478932
PA
390200000X
Student in an Organized Health Care Education/Training Program
4351029739
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2014
Last updated
07/17/2023
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