Provider Demographics
NPI:1386732147
Name:REZK, HANY SADEK (MD)
Entity type:Individual
Prefix:
First Name:HANY
Middle Name:SADEK
Last Name:REZK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HANY
Other - Middle Name:SADEK
Other - Last Name:REZK TADROUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:227 MOHAWK DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105
Mailing Address - Country:US
Mailing Address - Phone:724-657-0469
Mailing Address - Fax:724-658-6743
Practice Address - Street 1:1750 NEW BUTLER ROAD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101
Practice Address - Country:US
Practice Address - Phone:724-658-6585
Practice Address - Fax:724-658-6743
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059077L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016800180003Medicaid
1512284OtherGATEWAY
9481OtherUPMC
263036OtherHEALTH AMERICA
160574OtherUNISON
2133171OtherAETNA
GG2129Medicare UPIN
9481OtherUPMC
263036OtherHEALTH AMERICA