MEDICARE: RICHARD EDWARD PAYHA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD050114L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	10933938	OTHER		CAQH

General Provider Information

NPI Number	:	1396734745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD EDWARD PAYHA MD

Provider Business Mailing Address
First Line	:	2580 HAYMAKER RD STE 304
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-3500
Country	:	US
Telephone Number	:	412-858-3070
Fax Number	:	412-858-3076

Provider Business Practice Location Address
First Line	:	2580 HAYMAKER RD STE 304
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-3500
Country	:	US
Telephone Number	:	412-858-3070
Fax Number	:	412-858-3076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	10/05/2020

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