Provider Demographics
NPI:1396716577
Name:TRECHA, GREGORY T (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:T
Last Name:TRECHA
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 1:401 LIBERTY AVE STE 2000
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1029
Mailing Address - Country:US
Mailing Address - Phone:814-444-1919
Mailing Address - Fax:
Practice Address - Street 1:401 LIBERTY AVE STE 2000
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222
Practice Address - Country:US
Practice Address - Phone:412-230-8200
Practice Address - Fax:412-202-8638
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0782782085R0202X
IN01076566A2085R0202X
KY478282085R0202X
VA01012650072085R0202X
PAMD044488E2085R0202X
MI43011089692085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012741530011Medicaid
WV3810001050Medicaid
OH0206771Medicaid
PA001274153Medicaid
PA001274153Medicaid
PA0012741530011Medicaid
OHTR4056702Medicare PIN
PA1513816Medicare PIN
OH0206771Medicaid