| Southern Ohio Medical Inc | |
|
25800 State Route 41 Peebles OH 45660-8953 | |
| (937) 587-5435 | |
| (937) 587-5437 |
| Full Name | Southern Ohio Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25800 State Route 41, Peebles, Ohio |
| Authorized Official Name and Position | Sabir M Quraishi (OWNER) |
| Authorized Official Contact | 9375875435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ohio Medical Inc 25800 State Route 41 Po Box 415 Peebles OH 45660-8953 Ph: (937) 587-5435 | Southern Ohio Medical Inc 25800 State Route 41 Peebles OH 45660-8953 Ph: (937) 587-5435 |
| NPI Number | 1700816774 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 04/19/2011 |
| Medicare PECOS PAC ID | 9537180930 |
|---|---|
| Medicare Enrollment ID | O20051213000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700816774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sabir M Quraishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427082841 PECOS PAC ID: 9537055983 Enrollment ID: I20040224000535 |
| Provider Name | Cherry Ronnette Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154633865 PECOS PAC ID: 9537308028 Enrollment ID: I20130612000729 |
Adams County Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 Elliott Ave, Peebles, OH 45660 Phone: 937-587-2618 Fax: 937-587-2288 |