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General NPI Number Information
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NPI Number | 1124486220
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Entity Type | Organization
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Legal Business Name | SOUTH HILLS REHAB ASSOCAITES, INC.
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 378 W CHESTNUT ST SUITE 105
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City | WASHINGTON
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State | PA
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Zip | 15301-4659
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Country | US
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Telephone | 724-222-5471
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Fax | 724-222-0305
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Provider Business Mailing Address
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Address Line | 575 COAL VALLEY RD SUITE 277
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City | JEFFERSON HILLS
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State | PA
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Zip | 15025-3730
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Country | US
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Telephone | 412-469-7722
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Fax | 412-469-7721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJESH M MEHTA
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Credential | MD
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Telephone | 412-469-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD05253
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License Number State | PA
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