| Uhmp - Chenguttai Manohar | |
|
701 N Lake St Ste 101 Madison OH 44057-3152 | |
| (440) 428-7512 | |
| (440) 428-4848 |
| Full Name | Uhmp - Chenguttai Manohar |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 N Lake St Ste 101, Madison, Ohio |
| Authorized Official Name and Position | Steve Riddle (DIRECTOR OF BILLING SERVICES) |
| Authorized Official Contact | 2163836480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhmp - Chenguttai Manohar Po Box 8792 Belfast ME 04915-8792 Ph: (440) 428-7512 | Uhmp - Chenguttai Manohar 701 N Lake St Ste 101 Madison OH 44057-3152 Ph: (440) 428-7512 |
| NPI Number | 1124159512 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124159512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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