| Internal Medicine Group Inc | |
|
88 Center Rd Ste 350 Bedford OH 44146-2775 | |
| (440) 439-7766 | |
| Not Available |
| Full Name | Internal Medicine Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 88 Center Rd Ste 350, Bedford, Ohio |
| Authorized Official Name and Position | Kandasmy Umapathy (OWNER) |
| Authorized Official Contact | 4404397766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Group Inc 88 Center Rd Ste 350 Bedford OH 44146-2775 Ph: (440) 439-7766 | Internal Medicine Group Inc 88 Center Rd Ste 350 Bedford OH 44146-2775 Ph: (440) 439-7766 |
| NPI Number | 1588664502 |
|---|---|
| Provider Enumeration Date | 08/01/2005 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 4789663469 |
|---|---|
| Medicare Enrollment ID | O20040715001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588664502 | NPI | - | NPPES |
| CE9289 | Other | OH | RR MEDICARE |
| 2047832 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| Provider Name | Priyadharshini Umapathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346242070 PECOS PAC ID: 2961539036 Enrollment ID: I20100421000433 |
| Provider Name | Kandasmy Umapathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316947708 PECOS PAC ID: 1153455407 Enrollment ID: I20100823000442 |
| Provider Name | Joseph M Scaminace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508279464 PECOS PAC ID: 3476772625 Enrollment ID: I20140919001623 |
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