| Concierge Connected Care | |
|
11201 Sandusky St Ste 101 Perrysburg OH 43551-3130 | |
| (419) 214-1213 | |
| (419) 214-0783 |
| Full Name | Concierge Connected Care |
|---|---|
| Speciality | Family Medicine |
| Location | 11201 Sandusky St Ste 101, Perrysburg, Ohio |
| Authorized Official Name and Position | Radharamanamurthy Gokula (PRESIDENT/CEO) |
| Authorized Official Contact | 4192141213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Connected Care 11201 Sandusky St Ste 101 Perrysburg OH 43551-3130 Ph: (419) 214-1213 | Concierge Connected Care 11201 Sandusky St Ste 101 Perrysburg OH 43551-3130 Ph: (419) 214-1213 |
| NPI Number | 1023562279 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 6305125667 |
|---|---|
| Medicare Enrollment ID | O20161109002746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023562279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-089833 (Ohio) | Primary |
| Provider Name | Radha Ramana M Gokula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720089139 PECOS PAC ID: 7315908258 Enrollment ID: I20070712000833 |
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