Provider Demographics
NPI:1316376148
Name:SOUTH HILLS REHAB ASSOC. INC.
Entity Type:Organization
Organization Name:SOUTH HILLS REHAB ASSOC. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-469-7722
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SUITE 277
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-469-7722
Mailing Address - Fax:412-469-7721
Practice Address - Street 1:1500 OXFORD DR
Practice Address - Street 2:SUITE 230
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1823
Practice Address - Country:US
Practice Address - Phone:412-833-3934
Practice Address - Fax:412-469-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052535L2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007508090003Medicaid
PA1398027OtherBLUE SHIELD GROUP ID
PA1526169OtherGATEWAY GROUP ID
PA7011150001Medicare NSC
PADB1418Medicare PIN
PA1007508090003Medicaid