Provider Demographics
NPI:1649339078
Name:SOUTH HILLS CARDIOLOGY ASSOCIATES
Entity type:Organization
Organization Name:SOUTH HILLS CARDIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSHAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-344-4767
Mailing Address - Street 1:1050 BOWER HILL RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1800
Mailing Address - Country:US
Mailing Address - Phone:412-344-4767
Mailing Address - Fax:412-344-0405
Practice Address - Street 1:1050 BOWER HILL RD
Practice Address - Street 2:SUITE 308
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1800
Practice Address - Country:US
Practice Address - Phone:412-344-4767
Practice Address - Fax:412-344-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000084775OtherUNISON HEALTH PLAN
PA0007340160002Medicaid
PA984016OtherHIGHMARK BLUE SHIELD
2060772OtherAETNA
1001032OtherGATEWAY HEALTH PLAN
87152OtherHEALTH AMERICA
CF1035OtherRAILROAD MEDICARE
87152OtherHEALTH AMERICA