| Millenium Services Llc | |
|
8614 Shepherd Farm Dr West Chester OH 45069-1128 | |
| (513) 942-9500 | |
| Not Available |
| Full Name | Millenium Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8614 Shepherd Farm Dr, West Chester, Ohio |
| Authorized Official Name and Position | Shakil Rahman (DIRECTOR) |
| Authorized Official Contact | 8457295036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Services Llc 709 Brookmeade Ct Beavercreek OH 45434-6299 Ph: () - | Millenium Services Llc 8614 Shepherd Farm Dr West Chester OH 45069-1128 Ph: (513) 942-9500 |
| NPI Number | 1497119796 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 11/12/2018 |
| Medicare PECOS PAC ID | 8527356492 |
|---|---|
| Medicare Enrollment ID | O20161007001452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497119796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3586069 (Ohio) | Primary |
| Provider Name | Shakil Shafqatur Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609895952 PECOS PAC ID: 2860428745 Enrollment ID: I20050712000824 |
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