| Gastroenterology And Hepatology Of Northwest Ohio Inc | |
|
915 Michigan St Suite 202 Sidney OH 45365-2401 | |
| (419) 228-3500 | |
| Not Available |
| Full Name | Gastroenterology And Hepatology Of Northwest Ohio Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 915 Michigan St, Sidney, Ohio |
| Authorized Official Name and Position | Noufal Jajeh (OWNER) |
| Authorized Official Contact | 4192283500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology And Hepatology Of Northwest Ohio Inc Po Box 1448 Lima OH 45802-1448 Ph: (419) 228-3500 | Gastroenterology And Hepatology Of Northwest Ohio Inc 915 Michigan St Suite 202 Sidney OH 45365-2401 Ph: (419) 228-3500 |
| NPI Number | 1619428778 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Medicare PECOS PAC ID | 4587933908 |
|---|---|
| Medicare Enrollment ID | O20170628001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619428778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 35125504 (Ohio) | Primary |
| Provider Name | Noufal Jajeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396140604 PECOS PAC ID: 9537487426 Enrollment ID: I20150403000523 |
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