| Itm Geriatric Specialist, Llc | |
|
619 Oak St Rm 645 Cincinnati OH 45206-1613 | |
| (513) 569-6780 | |
| (513) 569-6555 |
| Full Name | Itm Geriatric Specialist, Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 619 Oak St, Cincinnati, Ohio |
| Authorized Official Name and Position | Imran T Minhas (OWNER) |
| Authorized Official Contact | 5135696780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itm Geriatric Specialist, Llc Po Box 635627 Cincinnati OH 45263-0044 Ph: (513) 891-7574 | Itm Geriatric Specialist, Llc 619 Oak St Rm 645 Cincinnati OH 45206-1613 Ph: (513) 569-6780 |
| NPI Number | 1073668315 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073668315 | NPI | - | NPPES |
| DF8219 | Other | OH | RR MEDICARE |
| 2958983 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
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