| Warren Medical Group Inc | |
|
461 Niles Cortland Se Warren OH 44484 | |
| (330) 856-1154 | |
| (330) 856-6966 |
| Full Name | Warren Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 461 Niles Cortland Se, Warren, Ohio |
| Authorized Official Name and Position | Nitin K Patel (PRESIDENT) |
| Authorized Official Contact | 3308561154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Medical Group Inc 461 Niles Cortland Rd Se Warren OH 44484-2432 Ph: (330) 856-1154 | Warren Medical Group Inc 461 Niles Cortland Se Warren OH 44484 Ph: (330) 856-1154 |
| NPI Number | 1982610788 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 07/29/2010 |
| Medicare PECOS PAC ID | 0840323077 |
|---|---|
| Medicare Enrollment ID | O20100809000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982610788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-058557P (Ohio) | Primary |
| Provider Name | Nitin K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669465357 PECOS PAC ID: 8325173479 Enrollment ID: I20100316000023 |
| Provider Name | Thong Gia Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770548703 PECOS PAC ID: 6507991288 Enrollment ID: I20100319000500 |
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