| Riverside Internal Medicine | |
|
4845 Knightsbridge Blvd Suite 210 Columbus OH 43214-2463 | |
| (614) 538-1358 | |
| (614) 538-1316 |
| Full Name | Riverside Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 4845 Knightsbridge Blvd, Columbus, Ohio |
| Authorized Official Name and Position | Michael D Conaway (SOLE MEMBER) |
| Authorized Official Contact | 6145381358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Internal Medicine 4845 Knightsbridge Blvd Suite 210 Columbus OH 43214-2463 Ph: (614) 538-1358 | Riverside Internal Medicine 4845 Knightsbridge Blvd Suite 210 Columbus OH 43214-2463 Ph: (614) 538-1358 |
| NPI Number | 1518273424 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518273424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35067588 (Ohio) | Primary |
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