Ohio State | |
18697 Bagley Road, 121, Reh Unit Southwest General Health Center Middleburg Hts OH 44130 | |
(440) 816-8678 | |
Not Available |
Full Name | Ohio State |
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Speciality | Internal Medicine |
Location | 18697 Bagley Road, 121, Reh Unit, Middleburg Hts, Ohio |
Authorized Official Name and Position | Valji D Munjapara (DIRECTOR OF REH. UNIT) |
Authorized Official Contact | 4405036550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ohio State 17793 Princeton Cir Strongsville OH 44149-6776 Ph: (440) 878-0195 | Ohio State 18697 Bagley Road, 121, Reh Unit Southwest General Health Center Middleburg Hts OH 44130 Ph: (440) 816-8678 |
NPI Number | 1538334230 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
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1538334230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35070846 (Ohio) | Primary |
I Am I Am Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7734 Pearl Rd, Suite 1b, Middleburg Hts, OH 44130 Phone: 877-426-0426 |