Provider Demographics
NPI:1649303322
Name:REGIONAL ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC
Entity type:Organization
Organization Name:REGIONAL ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAROOQ
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-588-1082
Mailing Address - Street 1:2500 HIGHLAND RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4602
Mailing Address - Country:US
Mailing Address - Phone:724-588-1082
Mailing Address - Fax:724-426-7710
Practice Address - Street 1:2500 HIGHLAND RD STE 101
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4602
Practice Address - Country:US
Practice Address - Phone:724-588-1082
Practice Address - Fax:724-426-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073078L207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018541380001Medicaid
PA1018541380001Medicaid