Geriatric Providers Inc. | |
9200 Montgomery Road Suite 3a Cincinnati OH 45243 | |
(513) 984-2300 | |
(513) 984-2353 |
Full Name | Geriatric Providers Inc. |
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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 |
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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 |
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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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Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |