Organization
SOUTH HILLS REHAB ASSOC. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH M MEHTA MD (PRESIDENT)
(412) 469-7722
Entity
Organization
Contact information
Practice address
1500 OXFORD DR, SUITE 230, BETHEL PARK, PA 15102-1823
(412) 833-3934
(412) 469-7721
Mailing address
575 COAL VALLEY RD, SUITE 277, JEFFERSON HILLS, PA 15025-3730
(412) 469-7722
(412) 469-7721
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD052535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007508090003
—
PA
01
—
1398027
BLUE SHIELD GROUP ID
PA
01
—
1526169
GATEWAY GROUP ID
PA
Enumeration date
11/02/2013
Last updated
03/19/2014
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