| West Side Adult And Pediatric Care Llc | |
|
7225 Colerain Ave Suite 103 Cincinnati OH 45239-5329 | |
| (513) 681-3500 | |
| (513) 681-1391 |
| Full Name | West Side Adult And Pediatric Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7225 Colerain Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Kylie Boggs (OFFICE MANAGER) |
| Authorized Official Contact | 5136813500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Adult And Pediatric Care Llc 7225 Colerain Ave Suite 103 Cincinnati OH 45239-5329 Ph: (513) 681-3500 | West Side Adult And Pediatric Care Llc 7225 Colerain Ave Suite 103 Cincinnati OH 45239-5329 Ph: (513) 681-3500 |
| NPI Number | 1720107097 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 1153426994 |
|---|---|
| Medicare Enrollment ID | O20070423000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720107097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
| 208000000X | Pediatrics | (Ohio) | Secondary |
| Provider Name | Samina Sohail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841212925 PECOS PAC ID: 2466355375 Enrollment ID: I20040128001219 |
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