| Geriatric Providers Inc. | |
|
9200 Montgomery Road Suite 3a Cincinnati OH 45243 | |
| (513) 984-2300 | |
| (513) 984-2353 |
| Full Name | Geriatric Providers Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9200 Montgomery Road, Cincinnati, Ohio |
| Authorized Official Name and Position | Marie Buddhdev (OFFICE MANAGER) |
| Authorized Official Contact | 5133174949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Providers Inc. 6500 Shawneeridge Lane Cincinnati OH 45243 Ph: (513) 984-2300 | Geriatric Providers Inc. 9200 Montgomery Road Suite 3a Cincinnati OH 45243 Ph: (513) 984-2300 |
| NPI Number | 1407918279 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407918279 | NPI | - | NPPES |
| 64863194 | Other | KY | KENTUCKY MEDICAID |
| 1896401 | Other | KY | KENTUCKY MEDICARE |
| 0302603 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35038994 (Ohio) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 17701 (Kentucky) | Secondary |
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