Basic Information
| Provider Information | |||||||||
| NPI: | 1992149116 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAVILA | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | BECKHAM | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 FORBES AVE STE 140 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152133410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126475815 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5115 CENTRE AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152321301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126486359 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2013 | ||||||||
| LastUpdateDate: | 05/20/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A1333436 | CA | N | Allopathic & Osteopathic Physicians | Surgery | 390200000X | MT220434 | PA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.