MEDICARE: KIMBERLY A RAU MD PC

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	174400000X	Specialist	MD051592L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1514611	OTHER	PA	HIGHMARK
2	206870	OTHER	PA	UPMC
3	9875061	OTHER	PA	CIGNA
4	5736742	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1841333283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A RAU MD PC

Provider Business Mailing Address
First Line	:	631 W WALDHEIM RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4290 ROUTE 8
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-1443
Country	:	US
Telephone Number	:	412-492-7546
Fax Number	:	412-492-7548

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	12/06/2007

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