| Primary Family Healthcare | |
|
990 South Prospect Street Suite 2 Marion OH 43302 | |
| (740) 375-0775 | |
| (740) 375-0774 |
| Full Name | Primary Family Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 990 South Prospect Street, Marion, Ohio |
| Authorized Official Name and Position | Khozema M Rajkotwala (MD SELFEMPLOYED) |
| Authorized Official Contact | 7403750775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Family Healthcare 990 South Prospect Street Suite 2 Marion OH 43302 Ph: (740) 375-0775 | Primary Family Healthcare 990 South Prospect Street Suite 2 Marion OH 43302 Ph: (740) 375-0775 |
| NPI Number | 1376658948 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376658948 | NPI | - | NPPES |
| 110183567 | Other | RR MEDICARE | |
| 000000141025 | Other | OH | ANTHEM |
| 0176321 | Medicaid | OH | |
| 0404230 | Other | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 350677778 (Ohio) | Primary |
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