| Springfield Infectious Diseases Llc | |
|
1174 E Home Rd Suite N Springfield OH 45503-2726 | |
| (937) 322-7260 | |
| (937) 398-0358 |
| Full Name | Springfield Infectious Diseases Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1174 E Home Rd, Springfield, Ohio |
| Authorized Official Name and Position | Sameer Burmawala Ismailjee (OWNER) |
| Authorized Official Contact | 9373227260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Infectious Diseases Llc 1174 E Home Rd Suite N Springfield OH 45503-2726 Ph: (937) 322-7260 | Springfield Infectious Diseases Llc 1174 E Home Rd Suite N Springfield OH 45503-2726 Ph: (937) 322-7260 |
| NPI Number | 1740207786 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740207786 | NPI | - | NPPES |
| 2672577 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 35083321 (Ohio) | Primary |
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