| Mitchell Internal Medicine, Inc. | |
|
4834 Socialville Foster Rd Suite 10 Mason OH 45040-6826 | |
| (513) 336-9101 | |
| Not Available |
| Full Name | Mitchell Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4834 Socialville Foster Rd, Mason, Ohio |
| Authorized Official Name and Position | Dyatra B Mitchell (OWNER) |
| Authorized Official Contact | 5133369101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Internal Medicine, Inc. Po Box 643766 Cincinnati OH 45264-3766 Ph: (513) 336-9101 | Mitchell Internal Medicine, Inc. 4834 Socialville Foster Rd Suite 10 Mason OH 45040-6826 Ph: (513) 336-9101 |
| NPI Number | 1114957834 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114957834 | NPI | - | NPPES |
| 2061165 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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