Geriatrics Consultants, Llc | |
619 Oak St Ste 645 Cincinnati OH 45206-1613 | |
(513) 607-7283 | |
(513) 469-0251 |
Full Name | Geriatrics Consultants, Llc |
---|---|
Speciality | Internal Medicine |
Location | 619 Oak St, Cincinnati, Ohio |
Authorized Official Name and Position | Manish G Srivastava (OWNER) |
Authorized Official Contact | 5136077283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Geriatrics Consultants, Llc Po Box 636299 Cincinnati OH 45263-0001 Ph: (513) 607-7283 | Geriatrics Consultants, Llc 619 Oak St Ste 645 Cincinnati OH 45206-1613 Ph: (513) 607-7283 |
NPI Number | 1245476134 |
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Provider Enumeration Date | 12/23/2008 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 4082770961 |
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Medicare Enrollment ID | O20090227000507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245476134 | NPI | - | NPPES |
2958214 | Medicaid | OH | |
DP7382 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Manish G Srivastava |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1538283627 PECOS PAC ID: 4486567518 Enrollment ID: I20031106000084 |
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