Gateway Medical Center Llc | |
3433 Agler Rd Ste 1100 Columbus OH 43219-3390 | |
(914) 708-6574 | |
Not Available |
Full Name | Gateway Medical Center Llc |
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Speciality | Family Medicine |
Location | 3433 Agler Rd Ste 1100, Columbus, Ohio |
Authorized Official Name and Position | Charles Okyere (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9147086574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gateway Medical Center Llc 3433 Agler Rd Ste 1100 Columbus OH 43219-3390 Ph: (914) 708-6574 | Gateway Medical Center Llc 3433 Agler Rd Ste 1100 Columbus OH 43219-3390 Ph: (914) 708-6574 |
NPI Number | 1447070685 |
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Provider Enumeration Date | 10/14/2024 |
Last Update Date | 12/16/2024 |
Certification Date | 12/16/2024 |
Medicare PECOS PAC ID | 4880123835 |
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Medicare Enrollment ID | O20250121003070 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447070685 | NPI | - | NPPES |
Provider Name | Kemi Lanre Azeez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649231861 PECOS PAC ID: 4880689439 Enrollment ID: I20040518000804 |
Provider Name | Cynthia Jean Milich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912981812 PECOS PAC ID: 2961485081 Enrollment ID: I20040610000365 |
Provider Name | Adedoyin O Adetoro |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
Provider Name | Akilah Corbett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487370383 PECOS PAC ID: 0345618344 Enrollment ID: I20221123000650 |
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