Delhi Internal Medicine Llc | |
494 Neeb Rd Cincinnati OH 45233-5104 | |
(513) 347-3302 | |
Not Available |
Full Name | Delhi Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 494 Neeb Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Michael Justin (OWNER) |
Authorized Official Contact | 5135213600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Delhi Internal Medicine Llc 494 Neeb Rd Cincinnati OH 45233-5104 Ph: (513) 347-3302 | Delhi Internal Medicine Llc 494 Neeb Rd Cincinnati OH 45233-5104 Ph: (513) 347-3302 |
NPI Number | 1578071080 |
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Provider Enumeration Date | 01/18/2018 |
Last Update Date | 09/11/2024 |
Medicare PECOS PAC ID | 8426308107 |
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Medicare Enrollment ID | O20180829003328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578071080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael Justin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023196904 PECOS PAC ID: 8820071095 Enrollment ID: I20040610000382 |
Provider Name | Shannon Mullis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750781514 PECOS PAC ID: 3678817061 Enrollment ID: I20181212001767 |
Provider Name | Angela Garland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124634605 PECOS PAC ID: 4688087711 Enrollment ID: I20210111002125 |
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