Provider Demographics
NPI:1447289350
Name:TEREDESAI MCCANN & ASSOCIATES PC
Entity type:Organization
Organization Name:TEREDESAI MCCANN & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADIP
Authorized Official - Middle Name:R
Authorized Official - Last Name:TEREDESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-384-8392
Mailing Address - Street 1:2242 DARLINGTON RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1329
Mailing Address - Country:US
Mailing Address - Phone:724-384-8392
Mailing Address - Fax:724-384-0066
Practice Address - Street 1:1597 WASHINGTON PIKE STE A22
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2878
Practice Address - Country:US
Practice Address - Phone:412-489-6919
Practice Address - Fax:412-489-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACF4536OtherRAILROAD MEDICARE
PA0015514040006Medicaid
WV3810005102Medicaid
WV3810005102Medicaid