| Advance Internal Medicine Primary Care ,LLC | |
|
2322 Lakeview Dr Beavercreek OH 45431-2772 | |
| (937) 424-5986 | |
| (937) 424-5989 |
| Full Name | Advance Internal Medicine Primary Care ,LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2322 Lakeview Dr, Beavercreek, Ohio |
| Authorized Official Name and Position | Sameer Qamar (PRESIDENT) |
| Authorized Official Contact | 6466719284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Internal Medicine Primary Care ,LLC 1416 Ashbury Park Pl Dayton OH 45458-6404 | Advance Internal Medicine Primary Care ,LLC 2322 Lakeview Dr Beavercreek OH 45431-2772 Ph: (937) 424-5986 |
| NPI Number | 1205625340 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Medicare PECOS PAC ID | 0749791036 |
|---|---|
| Medicare Enrollment ID | O20250613002620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205625340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Sameer Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514051 PECOS PAC ID: 8921159765 Enrollment ID: I20160412002767 |
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