Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRIME MEDICAL GROUP
Active
Organization
PRIME MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBARAM V CHAUHAN M.D. (PRESIDENT OF PRACTIVE)
(724) 929-4930
Entity
Organization
Contact information
Practice address
1200 BROOKS LN, SUITE 110, CLAIRTON, PA 15025-3747
(724) 929-4930
(724) 929-4308
Mailing address
PO BOX 18619, PITTSBURGH, PA 15236-0619
(724) 929-4930
(724) 929-4308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD037996L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007726550009
—
PA
01
—
331905
HIGHMARK BLUE SHIELD
PA
01
—
692541
HIGHMARK BLUE SHIELD
PA
01
—
692646
HIGHMARK BLUE SHIELD
PA
01
—
769210
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/24/2008
Last updated
01/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up