Provider Demographics
NPI:1851559348
Name:RONALD O. MONAH, JR., M.D.
Entity Type:Organization
Organization Name:RONALD O. MONAH, JR., M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:OCTAVIUS
Authorized Official - Last Name:MONAH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:412-231-1800
Mailing Address - Street 1:490 E NORTH AVE
Mailing Address - Street 2:204
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4740
Mailing Address - Country:US
Mailing Address - Phone:412-231-1800
Mailing Address - Fax:412-231-3700
Practice Address - Street 1:490 E NORTH AVE
Practice Address - Street 2:204
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4740
Practice Address - Country:US
Practice Address - Phone:412-231-1800
Practice Address - Fax:412-231-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007925100009Medicaid
PAC28925Medicare UPIN
PA0007925100009Medicaid