| Mason Primary Care Inc | |
|
9311 Mason Montgomery Road Suite #113 Mason OH 45040 | |
| (513) 339-0800 | |
| (513) 339-0790 |
| Full Name | Mason Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9311 Mason Montgomery Road, Mason, Ohio |
| Authorized Official Name and Position | Annapurna Jasti Maodali (PRESIDENT) |
| Authorized Official Contact | 5733390800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Primary Care Inc 9311 Mason Montgomery Road Suite #113 Mason OH 45040 Ph: (513) 339-0800 | Mason Primary Care Inc 9311 Mason Montgomery Road Suite #113 Mason OH 45040 Ph: (513) 339-0800 |
| NPI Number | 1316115041 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316115041 | NPI | - | NPPES |
| 2019130 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OH35071617 (Ohio) | Primary |
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