|
| |
|
4172 Indian Ripple Rd Suite A Dayton OH 45440-3285 | |
| (937) 431-3779 | |
| (937) 431-3776 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 4172 Indian Ripple Rd, Dayton, Ohio |
| Authorized Official Name and Position | Naynesh R Patel (PRESIDENT) |
| Authorized Official Contact | 9374313779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 73303 Cleveland OH 44193-0002 Ph: (937) 431-3779 | 4172 Indian Ripple Rd Suite A Dayton OH 45440-3285 Ph: (937) 431-3779 |
| NPI Number | 1134192768 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134192768 | NPI | - | NPPES |
| 2366827 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
Kenvic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elizabeth Pl, Sixth Floor, Dayton, OH 45408 Phone: 937-222-5963 | |
Digestive Endoscopy Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4340 Clyo Rd Ste 100, Dayton, OH 45459 Phone: 937-534-7330 Fax: 937-297-2208 | |
Infectious Disease Physicians Of Dayton Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Infusion Services, Dayton, OH 45415 Phone: 937-279-5803 Fax: 937-279-5873 | |
Specialty Medicine Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459 Phone: 937-429-0607 | |
Glenda Lopez-blaza Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8710 N Dixie Dr, Dayton, OH 45414 Phone: 937-415-0501 Fax: 937-415-0520 |