| |
9200 Montgomery Road Suite 3a Cincinnati OH 45242 | |
(513) 984-2300 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 9200 Montgomery Road, Cincinnati, Ohio |
Authorized Official Name and Position | Chandu Budev (PRESIDENT OWNER) |
Authorized Official Contact | 5133174949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6500 Shawneeridge Lane Cincinnati OH 45243 Ph: (513) 984-2300 | 9200 Montgomery Road Suite 3a Cincinnati OH 45242 Ph: (513) 984-2300 |
NPI Number | 1396922027 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 04/24/2008 |
Medicare PECOS PAC ID | 3476586132 |
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Medicare Enrollment ID | O20050913001153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396922027 | NPI | - | NPPES |
0881069 | Medicaid | OH | |
64863194 | Medicaid | KY | |
1896401 | Other | KY | KENTUCKY MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
Provider Name | Chandu Budev-buddhdev |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952329609 PECOS PAC ID: 3577476621 Enrollment ID: I20031106000217 |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |