| Infectious Diseases Associates Inc | |
|
3533 Southern Blvd Ste 4200 Kettering OH 45429-1272 | |
| (937) 572-7648 | |
| (937) 832-8279 |
| Full Name | Infectious Diseases Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3533 Southern Blvd Ste 4200, Kettering, Ohio |
| Authorized Official Name and Position | Jack Mark Bernstein (OWNER) |
| Authorized Official Contact | 9375727648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Associates Inc 3533 Southern Blvd Ste 4200 Kettering OH 45429-1272 Ph: (937) 572-7648 | Infectious Diseases Associates Inc 3533 Southern Blvd Ste 4200 Kettering OH 45429-1272 Ph: (937) 572-7648 |
| NPI Number | 1023061207 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/15/2019 |
| Medicare PECOS PAC ID | 3476454331 |
|---|---|
| Medicare Enrollment ID | O20040115000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023061207 | NPI | - | NPPES |
| 2232597 | Medicaid | OH |
| Provider Name | Jack Mark Bernstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043212772 PECOS PAC ID: 6103727904 Enrollment ID: I20040116000062 |
| Provider Name | Shruti H Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053635045 PECOS PAC ID: 7517109226 Enrollment ID: I20130808000836 |
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