Provider Demographics
NPI:1134468416
Name:PREMIER RECOVERY AND REHAB ASSOCIATES PLLC
Entity Type:Organization
Organization Name:PREMIER RECOVERY AND REHAB ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:K
Authorized Official - Last Name:VEMULAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-837-1426
Mailing Address - Street 1:9576 PERRY HIGHWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:412-836-1426
Mailing Address - Fax:
Practice Address - Street 1:9537 PERRY HIGHWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-837-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty