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PHA ADULT MEDICINE NPI 1598925885


NPI Information

NPI: 1598925885
Provider Name: PHA ADULT MEDICINE
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 39D0981836

Address:
1740 SOUTH ST
SUITE 300
PHILADELPHIA, PA
ZIP 19146
Phone: (215) 732-0876
Get Directions

PHA ADULT MEDICINE is a gastroenterology internal medicine in Philadelphia, PA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PHA ADULT MEDICINE NPI is 1598925885. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1740 SOUTH ST
SUITE 300
PHILADELPHIA, PA
ZIP 19146-514
Phone: (215) 732-0876

The provider's authorized official is Wilbert Warren .
The authorized official title is Treasurer and has the following contact phone number (215) 732-0876.

The CLIA number assigned to this NPI record is 39D0981836 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.


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
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10073439000OTHERKEYSTONE HEALTH PLAN EAST AND KHP65

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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