| Ajaz Umerani, M.d. Inc | |
|
2121 E High St Springfield OH 45505-1368 | |
| (937) 325-3830 | |
| (937) 325-3780 |
| Full Name | Ajaz Umerani, M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2121 E High St, Springfield, Ohio |
| Authorized Official Name and Position | Ajaz Umerani (OWNER) |
| Authorized Official Contact | 9373253830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajaz Umerani, M.d. Inc 2121 E High St Springfield OH 45505-1368 Ph: (937) 325-3830 | Ajaz Umerani, M.d. Inc 2121 E High St Springfield OH 45505-1368 Ph: (937) 325-3830 |
| NPI Number | 1043587470 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 06/29/2012 |
| Medicare PECOS PAC ID | 8729244587 |
|---|---|
| Medicare Enrollment ID | O20120723000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043587470 | NPI | - | NPPES |
| 2010693 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35071757 (Ohio) | Primary |
| Provider Name | Ajaz Umerani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104927797 PECOS PAC ID: 0244246700 Enrollment ID: I20060222000047 |
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