| Troy Internal Medicine, Inc. | |
|
530 Crescent Dr Troy OH 45373-2718 | |
| (937) 339-3838 | |
| (937) 335-1232 |
| Full Name | Troy Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 530 Crescent Dr, Troy, Ohio |
| Authorized Official Name and Position | Thomas J Nickras (OWNER PARTNER) |
| Authorized Official Contact | 9373393838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Internal Medicine, Inc. 530 Crescent Dr Troy OH 45373-2718 Ph: (937) 339-3838 | Troy Internal Medicine, Inc. 530 Crescent Dr Troy OH 45373-2718 Ph: (937) 339-3838 |
| NPI Number | 1871798413 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871798413 | NPI | - | NPPES |
| 0212442 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35037618N (Ohio) | Primary |
| 207R00000X | Internal Medicine | 35036285N (Ohio) | Secondary |
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