Capital City Internal Medicine Inc. | |
6870 Perimeter Dr Suite B Dublin OH 43016-8047 | |
(614) 777-9804 | |
(614) 777-9806 |
Full Name | Capital City Internal Medicine Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 6870 Perimeter Dr, Dublin, Ohio |
Authorized Official Name and Position | Mandana Emami (PRESIDENT) |
Authorized Official Contact | 6147779804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Capital City Internal Medicine Inc. 6870 Perimeter Dr Suite B Dublin OH 43016-8047 Ph: (614) 777-9804 | Capital City Internal Medicine Inc. 6870 Perimeter Dr Suite B Dublin OH 43016-8047 Ph: (614) 777-9804 |
NPI Number | 1568641256 |
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Provider Enumeration Date | 10/30/2007 |
Last Update Date | 12/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568641256 | NPI | - | NPPES |
3011823 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 35082399 (Ohio) | Primary |
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