American Pharaoh Health Care, Llc | |
120 E State Street Alliance OH 44601 | |
(330) 596-7940 | |
Not Available |
Full Name | American Pharaoh Health Care, Llc |
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Speciality | Internal Medicine |
Location | 120 E State Street, Alliance, Ohio |
Authorized Official Name and Position | Gamal El-mobasher (PARTNER) |
Authorized Official Contact | 3302575897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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American Pharaoh Health Care, Llc P O Box 156 Deerfield OH 44411-0156 Ph: (330) 257-5897 | American Pharaoh Health Care, Llc 120 E State Street Alliance OH 44601 Ph: (330) 596-7940 |
NPI Number | 1861173049 |
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Provider Enumeration Date | 07/31/2023 |
Last Update Date | 04/05/2024 |
Medicare PECOS PAC ID | 5991247579 |
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Medicare Enrollment ID | O20240611002049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861173049 | NPI | - | NPPES |
0031421 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gamal G El Mobasher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851394076 PECOS PAC ID: 7618942285 Enrollment ID: I20040827000281 |
Provider Name | Heather M Frischkorn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780132605 PECOS PAC ID: 8820377203 Enrollment ID: I20161108002299 |
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