Dayton Internal Medicine Clinic, Inc. | |
1735 Big Hill Rd Dayton OH 45439-2201 | |
(937) 224-4325 | |
(937) 224-4327 |
Full Name | Dayton Internal Medicine Clinic, Inc. |
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Speciality | Internal Medicine |
Location | 1735 Big Hill Rd, Dayton, Ohio |
Authorized Official Name and Position | Ugo O Nwokoro (PHYSICIAN) |
Authorized Official Contact | 9372244325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dayton Internal Medicine Clinic, Inc. 1735 Big Hill Rd Dayton OH 45439-2201 Ph: (937) 224-4325 | Dayton Internal Medicine Clinic, Inc. 1735 Big Hill Rd Dayton OH 45439-2201 Ph: (937) 224-4325 |
NPI Number | 1033322334 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 6103867833 |
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Medicare Enrollment ID | O20050512000687 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033322334 | NPI | - | NPPES |
2244897 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35078825N (Ohio) | Primary |
Provider Name | Ugochukwu O Nwokoro |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013919778 PECOS PAC ID: 4587565361 Enrollment ID: I20040115000437 |
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