MEDICARE: PRIMARY CARE ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154617736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	P.O. BOX 645062
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45264-5062
Country	:	US
Telephone Number	:	513-752-0004
Fax Number	:	513-752-0731

Provider Business Practice Location Address
First Line	:	1324 STATE ROUTE SUITE 125
Second Line	:
City	:	AMELIA
State	:	OH
Zip	:	45102-0015
Country	:	US
Telephone Number	:	513-752-0004
Fax Number	:	513-752-0731

Authorized Official
Title or Position	:	CEO
Name	:	DR. NABURN SARKAR
Credential	:	MD
Telephone Number	:	513-752-0004

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	04/26/2012

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