| Columbus East Internal Medicine | |
|
1075 Beecher Xing N Ste A Gahanna OH 43230-4572 | |
| (614) 475-6712 | |
| (614) 475-6902 |
| Full Name | Columbus East Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1075 Beecher Xing N Ste A, Gahanna, Ohio |
| Authorized Official Name and Position | Lisa J Braverman (PARTNER) |
| Authorized Official Contact | 6144756712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus East Internal Medicine 1075-a Beecher Crossing North Gahanna OH 43230-8703 Ph: (614) 475-6712 | Columbus East Internal Medicine 1075 Beecher Xing N Ste A Gahanna OH 43230-4572 Ph: (614) 475-6712 |
| NPI Number | 1598816514 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598816514 | NPI | - | NPPES |
| 2073616 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35062326 (Ohio) | Primary |
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