Cheviot Medical Center Inc | |
3502 Boudinot Ave Cincinnati OH 45211-5726 | |
(513) 481-9100 | |
(513) 389-7052 |
Full Name | Cheviot Medical Center Inc |
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Speciality | Internal Medicine |
Location | 3502 Boudinot Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Srilakshmi L Pisati (OWNER) |
Authorized Official Contact | 5134819100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cheviot Medical Center Inc 3502 Boudinot Ave Cincinnati OH 45211-5726 Ph: (513) 481-9100 | Cheviot Medical Center Inc 3502 Boudinot Ave Cincinnati OH 45211-5726 Ph: (513) 481-9100 |
NPI Number | 1063532430 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 07/21/2010 |
Medicare PECOS PAC ID | 6406804087 |
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Medicare Enrollment ID | O20050111000059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063532430 | NPI | - | NPPES |
2119139 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-073706 (Ohio) | Primary |
Provider Name | Srilakshmi Pisati |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265494447 PECOS PAC ID: 2860440443 Enrollment ID: I20100715001057 |
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 |