Provider Demographics
NPI:1720167174
Name:SHTRAHMAN, BENJAMIN (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:SHTRAHMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WILMAR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1608
Mailing Address - Country:US
Mailing Address - Phone:412-952-3783
Mailing Address - Fax:
Practice Address - Street 1:124 WILMAR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1608
Practice Address - Country:US
Practice Address - Phone:412-952-3783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049095L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1023676OtherGATEWAY HEALTH PLAN
PA202802OtherUPMC HEALTH PLAN
PA130016409OtherRAILROAD MEDICARE
PA0015261250002Medicaid
PA644845OtherHIGHMARK BLUE SHIELD
PA644845Medicare PIN
PA130016409OtherRAILROAD MEDICARE