Healthcare Provider Details

I. General information

NPI: 1013837582
Provider Name (Legal Business Name): PERSAD PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 BUTLER ST STE 100B
PITTSBURGH PA
15201-2658
US

IV. Provider business mailing address

5301 BUTLER ST STE 100B
PITTSBURGH PA
15201-2658
US

V. Phone/Fax

Practice location:
  • Phone: 412-441-9786
  • Fax: 412-408-3720
Mailing address:
  • Phone: 412-441-9786
  • Fax: 412-408-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTYN BILLINGS
Title or Position: CREDENTIALING
Credential:
Phone: 412-655-4362