| Michael Cholera, Do, Inc. | |
|
3860 Race Rd Ste. 204 Cincinnati OH 45211-4306 | |
| (513) 699-1674 | |
| Not Available |
| Full Name | Michael Cholera, Do, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3860 Race Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Michael Cholera (PRESIDENT) |
| Authorized Official Contact | 5136991674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Cholera, Do, Inc. 919 Squire Valley Dr Villa Hills KY 41017-1479 Ph: (513) 699-1674 | Michael Cholera, Do, Inc. 3860 Race Rd Ste. 204 Cincinnati OH 45211-4306 Ph: (513) 699-1674 |
| NPI Number | 1356519771 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 07/15/2011 |
| Medicare PECOS PAC ID | 9537188305 |
|---|---|
| Medicare Enrollment ID | O20120109000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356519771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Cholera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699844704 PECOS PAC ID: 4981623758 Enrollment ID: I20101203001197 |
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