Mavail Llc | |
4922 Maxwell Dr Mason OH 45040-4620 | |
(513) 463-3120 | |
Not Available |
Full Name | Mavail Llc |
---|---|
Speciality | Internal Medicine |
Location | 4922 Maxwell Dr, Mason, Ohio |
Authorized Official Name and Position | Fadi Bailony (OWNER) |
Authorized Official Contact | 5134633120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mavail Llc 4922 Maxwell Dr Mason OH 45040-4620 Ph: (513) 463-3120 | Mavail Llc 4922 Maxwell Dr Mason OH 45040-4620 Ph: (513) 463-3120 |
NPI Number | 1790416303 |
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Provider Enumeration Date | 06/23/2022 |
Last Update Date | 06/23/2022 |
Medicare PECOS PAC ID | 7810362258 |
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Medicare Enrollment ID | O20230417001469 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790416303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fadi Bailony |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003965385 PECOS PAC ID: 6406818707 Enrollment ID: I20041029000217 |
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