Individual
EVAN TATSUYA ALICUBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 LOTHROP ST STE C-800, PITTSBURGH, PA 15213-2582
(808) 896-4756
Mailing address
200 LOTHROP ST STE C-800, PITTSBURGH, PA 15213-2582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
142705
CA
Other
Enumeration date
06/17/2016
Last updated
06/06/2022
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