| Community Pediatrics, Inc | |
|
3966 Brown Park Drive, Suite C Hilliard OH 43026-1164 | |
| (614) 876-1304 | |
| (614) 876-6844 |
| Full Name | Community Pediatrics, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3966 Brown Park Drive, Suite C, Hilliard, Ohio |
| Authorized Official Name and Position | Enaas F Kasheer (PRESIDENT) |
| Authorized Official Contact | 6148761304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Pediatrics, Inc 3966 Brown Park Drive, Suite C Hilliard OH 43026-1164 Ph: () - | Community Pediatrics, Inc 3966 Brown Park Drive, Suite C Hilliard OH 43026-1164 Ph: (614) 876-1304 |
| NPI Number | 1669723409 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669723409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 076356 (Ohio) | Primary |
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