Provider Demographics
NPI:1871028357
Name:ZEMTSOV, RAQUEL KEREN (MD)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:KEREN
Last Name:ZEMTSOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 FORBES AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3410
Mailing Address - Country:US
Mailing Address - Phone:765-760-7706
Mailing Address - Fax:
Practice Address - Street 1:1860 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4369
Practice Address - Country:US
Practice Address - Phone:412-383-1550
Practice Address - Fax:412-383-2133
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD485715207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine