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PENTAGON PRIMARY CARE LLC NPI 1144417767


NPI Information

NPI: 1144417767
Provider Name: PENTAGON PRIMARY CARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
99 N BRICE RD
SUITE 260
COLUMBUS, OH
ZIP 43213
Phone: (614) 235-2326
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PENTAGON PRIMARY CARE LLC is a general practice in Columbus, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PENTAGON PRIMARY CARE LLC NPI is 1144417767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

99 N BRICE RD
SUITE 260
COLUMBUS, OH
ZIP 43213-510
Phone: (614) 235-2326
Fax: (614) 235-5194

The provider's authorized official is Samir Arora .
The authorized official title is Md and has the following contact phone number (614) 235-2326.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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