=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285712521
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRIME CARE INTERNAL MEDICINE ASSOCIATES,P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1049 UNITY CENTER RD
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15239-1853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-795-8022
-----------------------------------------------------
Fax | 412-795-8222
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1049 UNITY CENTER RD
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15239-1853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-795-8022
-----------------------------------------------------
Fax | 412-795-8222
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | AMER AKHRASS
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 412-795-8022
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | MD052769L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------