Provider Demographics
NPI:1629181821
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:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
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 2:277
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 1:575 COAL VALLEY RD
Practice Address - Street 2:277
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-469-7722
Practice Address - Fax:412-469-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001866074OtherBLUE SHIELD OF WV
187802OtherHA
OH2662382Medicaid
PA1398027OtherBS GROUP ID
WV3810005887Medicaid
1502968OtherGATEWAY
1502968OtherGATEWAY
WV001866074OtherBLUE SHIELD OF WV
PA7011150002Medicare NSC
WV9363161Medicare PIN