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DEBRADY AKILI MD PC NPI 1205043304


NPI Information

NPI: 1205043304
Provider Name: DEBRADY, AKILI MD PC

Doing Business As: DEBRADY MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D1069657

Address:
7601 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119
Phone: (215) 248-6090
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DEBRADY, AKILI MD PC is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEBRADY, AKILI MD PC NPI is 1205043304. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Debrady Medical Associates.

The provider's business location address is:

7601 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119-608
Phone: (215) 248-6090
Fax: (215) 248-6091

The provider's authorized official is Akili H Debrady .
The authorized official title is Owner and has the following contact phone number (215) 248-6090.

The CLIA number assigned to this NPI record is 39D1069657 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/24/2009.


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
1207Q00000XFamily MedicineMD428354PENNSYLVANIAYes

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: 11/14/2023

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