Provider Demographics
NPI:1942281217
Name:MEHTA, HARSHAD RATILAL (MD)
Entity Type:Individual
Prefix:
First Name:HARSHAD
Middle Name:RATILAL
Last Name:MEHTA
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 1:1000 BOWER HILL RD
Mailing Address - Street 2:ATTN PAMALYN AFFILIATE BILLING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-924-2548
Mailing Address - Fax:
Practice Address - Street 1:1050 BOWER HILL RD STE 308
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1870
Practice Address - Country:US
Practice Address - Phone:412-344-4767
Practice Address - Fax:412-344-0405
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019844E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
2061167OtherAETNA
000000086748OtherUNISON HEALTH PLAN
PA0007341140003Medicaid
1501472OtherGATEWAY HEALTH PLAN
PA048720OtherHIGHMARK BLUE SHIELD
060011916OtherRAILROAD MEDICARE
87150OtherHEALTH AMERICA
PA0007341140003Medicaid
PA048720Medicare PIN