1477887644 NPI number — PRIMARY CARE GROUP 8, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477887644 NPI number — PRIMARY CARE GROUP 8, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRIMARY CARE GROUP 8, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RAMESH PANDEY MD
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477887644
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
575 COAL VALLEY RD STE 503
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JEFFERSON HILLS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15025-3729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-267-6263
Provider Business Mailing Address Fax Number:
412-267-6264

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
575 COAL VALLEY RD STE 503
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JEFFERSON HILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15025-3729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-267-6263
Provider Business Practice Location Address Fax Number:
412-267-6264
Provider Enumeration Date:
09/22/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NOEL
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR PROVIDER ENROLLMENT
Authorized Official Telephone Number:
412-330-5861

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD051002L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)