| Internal Medicine Specialists Of Canton Inc | |
|
1930 Fulton Rd Nw Ste 101 Canton OH 44709-3526 | |
| (330) 454-9766 | |
| (330) 454-3438 |
| Full Name | Internal Medicine Specialists Of Canton Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1930 Fulton Rd Nw Ste 101, Canton, Ohio |
| Authorized Official Name and Position | Agatha Chukwumerije (PRESIDENT) |
| Authorized Official Contact | 3304549766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialists Of Canton Inc Po Box 80690 Canton OH 44708-0690 Ph: (330) 454-9766 | Internal Medicine Specialists Of Canton Inc 1930 Fulton Rd Nw Ste 101 Canton OH 44709-3526 Ph: (330) 454-9766 |
| NPI Number | 1801936786 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 3375630262 |
|---|---|
| Medicare Enrollment ID | O20071024000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801936786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35067956 (Ohio) | Primary |
| Provider Name | Agatha A Chukwumerije |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093820508 PECOS PAC ID: 3678555828 Enrollment ID: I20040602001133 |
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