Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prohealth Leaders LLC

Organization Emergency Medicine Physician · NPI 1053827485

Prohealth Leaders LLC is an Emergency Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9963 Bustleton Ave
Philadelphia, PA 19115-1557
Phone: (215) 464-2753
Fax: (215) 464-4738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1053827485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anitha George — Member · (215) 464-2753
NPI enumeratedDecember 21, 2017
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing address9715 Jeanes St, Philadelphia, PA 19115-1901

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