Provider Demographics
NPI:1104815422
Name:STRELEC, STEPHEN RONALD (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:RONALD
Last Name:STRELEC
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 1:2359 RAILROAD ST APT 2210
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-5603
Mailing Address - Country:US
Mailing Address - Phone:412-779-3647
Mailing Address - Fax:412-357-3641
Practice Address - Street 1:2775 MOSSIDE BLVD
Practice Address - Street 2:SUITE 2270A
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2760
Practice Address - Country:US
Practice Address - Phone:412-779-3647
Practice Address - Fax:412-357-3641
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019897E174400000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000743650Medicaid
PA000743650Medicaid
PA026284FEVMedicare PIN