| Elmore Medical Associates | |
|
3105 South State Route 51 Elmore OH 43416-0067 | |
| (419) 862-2916 | |
| (419) 862-1701 |
| Full Name | Elmore Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 3105 South State Route 51, Elmore, Ohio |
| Authorized Official Name and Position | Krishna M. Ragothaman (PRESIDENT) |
| Authorized Official Contact | 4198622916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmore Medical Associates Po Box 67 Elmore OH 43416-0067 Ph: (419) 862-2916 | Elmore Medical Associates 3105 South State Route 51 Elmore OH 43416-0067 Ph: (419) 862-2916 |
| NPI Number | 1124220579 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 02/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124220579 | NPI | - | NPPES |
| 0181646 | Medicaid | OH | |
| 0290288 | Medicaid | OH | |
| 0152338 | Medicaid | OH | |
| 7351404 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35037046 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |