Provider Demographics
NPI:1104599034
Name:BEVEL HEALTH MEDICAL GROUP
Entity type:Organization
Organization Name:BEVEL HEALTH MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-569-4300
Mailing Address - Street 1:500 GRANT ST STE 2900
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2502
Mailing Address - Country:US
Mailing Address - Phone:855-409-8855
Mailing Address - Fax:412-784-6657
Practice Address - Street 1:500 GRANT ST STE 2900
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2502
Practice Address - Country:US
Practice Address - Phone:855-409-8855
Practice Address - Fax:412-784-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty