Healthcare Provider Details

I. General information

NPI: 1558777300
Provider Name (Legal Business Name): AMRIT RIARH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BRADDOCK AVE
BRADDOCK PA
15104-1856
US

IV. Provider business mailing address

2550 MOSSIDE BLVD STE 500
MONROEVILLE PA
15146-3514
US

V. Phone/Fax

Practice location:
  • Phone: 412-636-5044
  • Fax: 412-271-2361
Mailing address:
  • Phone: 412-457-1100
  • Fax: 412-457-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD464275
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier103249152
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: