Pro-Health Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRO-HEALTH FAMILY MEDICINE LLC

Doing business as

pro- health family medicine
pro-health family medicine

Practice address

1730 W Main St
Stroudsburg, PA 18360-1026

Phone

(570) 813-4400

Fax

(570) 813-4500

NPI assigned

Jun 16, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammad Shakhawat Hossain, MD

Title

Physician

Phone

(570) 730-6920

Specialties & licenses 1

Addresses

Other names 2

• pro- health family medicine Doing business as
• pro-health family medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1114595030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601026",
            "telephone_number": "570-813-4400",
            "fax_number": "570-813-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601026",
            "telephone_number": "570-813-4400",
            "fax_number": "570-813-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "SHAKHAWAT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-730-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pro- health family medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "pro-health family medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.