| Advanced Wound Healing Llc | |
|
6099 Riverside Dr Ste 106 Dublin OH 43017-2004 | |
| (614) 222-2222 | |
| (614) 930-6168 |
| Full Name | Advanced Wound Healing Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6099 Riverside Dr Ste 106, Dublin, Ohio |
| Authorized Official Name and Position | Niraj Shah (OPERATOR) |
| Authorized Official Contact | 6143972543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Healing Llc 6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 Ph: (614) 222-2222 | Advanced Wound Healing Llc 6099 Riverside Dr Ste 106 Dublin OH 43017-2004 Ph: (614) 222-2222 |
| NPI Number | 1619752094 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 0547615049 |
|---|---|
| Medicare Enrollment ID | O20231018000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619752094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachel Korty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881267607 PECOS PAC ID: 6204226764 Enrollment ID: I20211124001470 |
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