MEDICARE: THE PRIMARY CARE NETWORK

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	:	1215965082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PRIMARY CARE NETWORK

Provider Business Mailing Address
First Line	:	1421 S REYNOLDS RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7413
Country	:	US
Telephone Number	:	419-725-6252
Fax Number	:	419-725-6257

Provider Business Practice Location Address
First Line	:	1421 S REYNOLDS RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7413
Country	:	US
Telephone Number	:	419-725-6252
Fax Number	:	419-725-6257

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	ARSHAD A HUSAIN
Credential	:	M.D.
Telephone Number	:	419-726-6290

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/26/2024

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Directions to “THE PRIMARY CARE NETWORK ” Practice Location

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