| Innovative Family Medicine, Llc. | |
|
6425 Post Rd Ste 102 Dublin OH 43016-1347 | |
| (614) 813-0883 | |
| (614) 813-7173 |
| Full Name | Innovative Family Medicine, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6425 Post Rd Ste 102, Dublin, Ohio |
| Authorized Official Name and Position | Marvin S. Im (OWNER) |
| Authorized Official Contact | 6145179637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Family Medicine, Llc. 6425 Post Rd Ste 102 Dublin OH 43016-1347 Ph: (614) 813-0883 | Innovative Family Medicine, Llc. 6425 Post Rd Ste 102 Dublin OH 43016-1347 Ph: (614) 813-0883 |
| NPI Number | 1548736374 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 4284970518 |
|---|---|
| Medicare Enrollment ID | O20190108001854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548736374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marvin S Im |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154436665 PECOS PAC ID: 0042216889 Enrollment ID: I20061018000361 |
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