Provider Demographics
NPI:1568198570
Name:PHA SPECIALTY LLC
Entity Type:Organization
Organization Name:PHA SPECIALTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-823-4000
Mailing Address - Street 1:22792 HARRISBURG WESTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-9224
Mailing Address - Country:US
Mailing Address - Phone:330-823-4000
Mailing Address - Fax:
Practice Address - Street 1:22792 HARRISBURG WESTVILLE RD
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-9224
Practice Address - Country:US
Practice Address - Phone:330-823-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER HEALTH ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-01
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty