| Integrated Family Medicine, Inc. | |
|
4701 Olentangy River Rd Suite 1 Columbus OH 43214-1950 | |
| (614) 818-1477 | |
| (614) 642-0807 |
| Full Name | Integrated Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4701 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Winnie Moazampour (OWNER) |
| Authorized Official Contact | 6148181477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Family Medicine, Inc. 200 Bradenton Ave Dublin OH 43017-7515 Ph: (614) 793-1980 | Integrated Family Medicine, Inc. 4701 Olentangy River Rd Suite 1 Columbus OH 43214-1950 Ph: (614) 818-1477 |
| NPI Number | 1003864323 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 04/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003864323 | NPI | - | NPPES |
| 2345215 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-08-0529 (Ohio) | Primary |
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