Healthcare Provider Details

I. General information

NPI: 1356505515
Provider Name (Legal Business Name): MANUELLA S LAHOUD-RAHME M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 5TH AVE
PITTSBURGH PA
15213-2584
US

IV. Provider business mailing address

5700 BUNKERHILL ST APT 1102
PITTSBURGH PA
15206-1162
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-7366
  • Fax:
Mailing address:
  • Phone: 412-692-7366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number235201
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: