Basic Information
Provider Information
NPI: 1326481334
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAI
FirstName: HEMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 LIBERTY AVE APT 405
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152224242
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4100 ALLEQUIPPA ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152401003
CountryCode: US
TelephoneNumber: 4128222222
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2013
LastUpdateDate: 09/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XMD44449217PAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


Home