Healthcare Provider Details

I. General information

NPI: 1134141609
Provider Name (Legal Business Name): RICHARD STEPHEN URBAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 HIGBEE DRIVE SUITE B102
BETHEL PARK PA
15102
US

IV. Provider business mailing address

990 HIGBEE DRIVE SUITE B102
BETHEL PARK PA
15102
US

V. Phone/Fax

Practice location:
  • Phone: 412-835-8090
  • Fax: 412-835-8044
Mailing address:
  • Phone: 412-835-8090
  • Fax: 412-835-8044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD024244E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: