Provider Demographics
NPI:1063599835
Name:MEHTA, RAVINDRA K (MD)
Entity type:Individual
Prefix:DR
First Name:RAVINDRA
Middle Name:K
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 1:1701 HUNTERS PATH LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3154
Mailing Address - Country:US
Mailing Address - Phone:724-785-9444
Mailing Address - Fax:724-785-9458
Practice Address - Street 1:129 SIMPSON RD
Practice Address - Street 2:SUITE 109
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9689
Practice Address - Country:US
Practice Address - Phone:724-785-9444
Practice Address - Fax:724-785-9458
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037238S2084P0800X
PAMD037238E2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA010011880730001Medicaid
PA564054OtherHIGHMARK BS/PA
PA010011880730001Medicaid
PAE60390Medicare UPIN