Provider Demographics
NPI:1851512412
Name:MENGATO, RICHARD ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ALFRED
Last Name:MENGATO
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 1:24 CHURCHILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5152
Mailing Address - Country:US
Mailing Address - Phone:412-243-0533
Mailing Address - Fax:
Practice Address - Street 1:24 CHURCHILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5152
Practice Address - Country:US
Practice Address - Phone:412-243-0533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8353207X00000X, 207XS0106X
PAMD-038106-E207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery