Provider Demographics
NPI:1336100205
Name:HURH, RYON (MD)
Entity Type:Individual
Prefix:DR
First Name:RYON
Middle Name:
Last Name:HURH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 HECKEL RD
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1616
Mailing Address - Country:US
Mailing Address - Phone:412-777-6773
Mailing Address - Fax:412-777-6778
Practice Address - Street 1:27 HECKEL RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1616
Practice Address - Country:US
Practice Address - Phone:412-777-6773
Practice Address - Fax:412-777-6778
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018601-E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC30920Medicare UPIN
PA000125207Medicare ID - Type Unspecified