Patrick Mezu Md Llc | |
2400 Miami Valley Dr Centerville OH 45459-4774 | |
(937) 660-6907 | |
(937) 350-6477 |
Full Name | Patrick Mezu Md Llc |
---|---|
Speciality | Hospitalist |
Location | 2400 Miami Valley Dr, Centerville, Ohio |
Authorized Official Name and Position | Patrick U Mezu (OWNER, AUTHORIZED SIGNER) |
Authorized Official Contact | 9372389167 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Patrick Mezu Md Llc Po Box 750084 Dayton OH 45475-0084 Ph: (937) 238-9167 | Patrick Mezu Md Llc 2400 Miami Valley Dr Centerville OH 45459-4774 Ph: (937) 660-6907 |
NPI Number | 1881092096 |
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Provider Enumeration Date | 12/22/2014 |
Last Update Date | 10/29/2024 |
Medicare PECOS PAC ID | 6002133766 |
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Medicare Enrollment ID | O20150318001396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881092096 | NPI | - | NPPES |
0117017 | Medicaid | OH | |
H19401 | Other | OH | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35076704 (Ohio) | Secondary |
208M00000X | Hospitalist | 35076704 (Ohio) | Primary |
Provider Name | Patrick Uche Mezu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912924861 PECOS PAC ID: 2062556533 Enrollment ID: I20100222000521 |
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