Provider Demographics
NPI:1356504161
Name:KASEKAR, RIYAJ ANIL (MD)
Entity type:Individual
Prefix:DR
First Name:RIYAJ
Middle Name:ANIL
Last Name:KASEKAR
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 1:575 COAL VALLEY RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3724
Mailing Address - Country:US
Mailing Address - Phone:412-466-2220
Mailing Address - Fax:412-466-4048
Practice Address - Street 1:575 COAL VALLEY RD STE 204
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3724
Practice Address - Country:US
Practice Address - Phone:412-466-2220
Practice Address - Fax:412-466-4048
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443685207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026475670002Medicaid
PA1026475670015Medicaid