| Professional Clinical Services Llc | |
|
1010 Cereal Ave Suite 100 Hamilton OH 45013-2784 | |
| (513) 867-2057 | |
| Not Available |
| Full Name | Professional Clinical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1010 Cereal Ave, Hamilton, Ohio |
| Authorized Official Name and Position | Ahmed E Mostafa (PRESIDENT) |
| Authorized Official Contact | 5133777189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Clinical Services Llc Po Box 93 Mason OH 45040-0093 Ph: (513) 377-7189 | Professional Clinical Services Llc 1010 Cereal Ave Suite 100 Hamilton OH 45013-2784 Ph: (513) 867-2057 |
| NPI Number | 1588830442 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588830442 | NPI | - | NPPES |
| 2847665 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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