Healthcare Provider Details

I. General information

NPI: 1841496841
Provider Name (Legal Business Name): RONALD G MEHOK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 CENTRE AVE
PITTSBURGH PA
15206-3710
US

IV. Provider business mailing address

725 CHERRINGTON PKWY STE 200
MOON TOWNSHIP PA
15108-4318
US

V. Phone/Fax

Practice location:
  • Phone: 412-661-5500
  • Fax: 412-661-4760
Mailing address:
  • Phone: 412-262-7800
  • Fax: 412-262-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD009594E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: