Healthcare Provider Details

I. General information

NPI: 1558595918
Provider Name (Legal Business Name): RENAL AND HYPERTENSION CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2009
Last Update Date: 07/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 LINCOLN WAY SUITE B
WHITE OAK PA
15131-1603
US

IV. Provider business mailing address

1303 LINCOLN WAY SUITE B
MCKEESPORT PA
15131-1603
US

V. Phone/Fax

Practice location:
  • Phone: 412-673-7745
  • Fax: 412-673-7746
Mailing address:
  • Phone: 412-673-7745
  • Fax: 412-673-7746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD049441L
License Number StatePA

VIII. Authorized Official

Name: DR. HASHIM RAZA
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 412-673-7745