| Akron Geriatric, Inc | |
|
4242 Cobblestone Dr Copley OH 44321-2925 | |
| (330) 666-5713 | |
| (330) 666-5657 |
| Full Name | Akron Geriatric, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4242 Cobblestone Dr, Copley, Ohio |
| Authorized Official Name and Position | Bong S Kauh (PRESIDENT/OWNER) |
| Authorized Official Contact | 3306665713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Akron Geriatric, Inc 111 Stow Ave Ste 200 Cuyahoga Falls OH 44221-2560 Ph: (330) 564-2629 | Akron Geriatric, Inc 4242 Cobblestone Dr Copley OH 44321-2925 Ph: (330) 666-5713 |
| NPI Number | 1811160401 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 06/23/2020 |
| Medicare PECOS PAC ID | 1951489277 |
|---|---|
| Medicare Enrollment ID | O20080425000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811160401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 35.057848 (Ohio) | Primary |
| Provider Name | Bong Suck Kauh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1457310005 PECOS PAC ID: 4688688369 Enrollment ID: I20060201000928 |
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