| Geriatric Practice Llc | |
|
839 Cherry St Blanchester OH 45107-1315 | |
| (513) 432-8735 | |
| Not Available |
| Full Name | Geriatric Practice Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 839 Cherry St, Blanchester, Ohio |
| Authorized Official Name and Position | Ravinder S Mann (OWNER) |
| Authorized Official Contact | 5134328735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Practice Llc 9986 Bolingbroke Dr Cincinnati OH 45241-3677 Ph: (513) 432-8735 | Geriatric Practice Llc 839 Cherry St Blanchester OH 45107-1315 Ph: (513) 432-8735 |
| NPI Number | 1376842815 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Medicare PECOS PAC ID | 0749464337 |
|---|---|
| Medicare Enrollment ID | O20110406000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376842815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 35D68907 (Ohio) | Primary |
| Provider Name | Ravinder S Mann |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1992797146 PECOS PAC ID: 4284652454 Enrollment ID: I20051107000014 |
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