| NPI | 1720627623 |
|---|---|
| Former Legal Business Name | PRABHU PRIMARY CARE DIVISION |
| Doing Business As | ST. CLAIR MEDICAL GROUP INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PAMALYN PATNESKY Credentialing 412-942-2548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-10-05 |