MEDICARE: HEMA RAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	MD44449217	PA

General Provider Information

NPI Number	:	1326481334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEMA RAI MD

Provider Business Mailing Address
First Line	:	1100 LIBERTY AVE APT 405
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-4242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 ALLEQUIPPA ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15240-1003
Country	:	US
Telephone Number	:	412-822-2222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	09/20/2022

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