Basic Information
Provider Information
NPI: 1467984641
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOLZAHN
FirstName: CHRISTIAN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 111 S GRANT AVE
Address2: FL 3
City: COLUMBUS
State: OH
PostalCode: 432154701
CountryCode: US
TelephoneNumber: 6142845483
FaxNumber:  
Practice Location
Address1: 3600 FORBES AVE
Address2: FORBES TOWER PLAZA SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 152133410
CountryCode: US
TelephoneNumber: 4126476340
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2017
LastUpdateDate: 06/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35.141700OHY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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