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Contact Information

MARIAM MAKSUTOVA
5200 CENTRE AVENUE
SHY MEDICAL BUILDING, SUITE 307
PITTSBURGH, PA15232
 Phone: 734-936-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MARIAM MAKSUTOVA · (Female)

NPI # 1588302418
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2022
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MT228009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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