Healthcare Provider Details

I. General information

NPI: 1124486220
Provider Name (Legal Business Name): SOUTH HILLS REHAB ASSOCAITES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 W CHESTNUT ST SUITE 105
WASHINGTON PA
15301-4659
US

IV. Provider business mailing address

575 COAL VALLEY RD SUITE 277
JEFFERSON HILLS PA
15025-3730
US

V. Phone/Fax

Practice location:
  • Phone: 724-222-5471
  • Fax: 724-222-0305
Mailing address:
  • Phone: 412-469-7722
  • Fax: 412-469-7721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD05253
License Number StatePA

VIII. Authorized Official

Name: DR. RAJESH M MEHTA
Title or Position: PRESIDENT
Credential: MD
Phone: 412-469-7722