Dermatology Allergy General Physicians Of Ohio Inc | |
1000 W Michigan Street Sidney OH 45365-2404 | |
(937) 492-5110 | |
(937) 492-9489 |
Full Name | Dermatology Allergy General Physicians Of Ohio Inc |
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Speciality | Dermatology |
Location | 1000 W Michigan Street, Sidney, Ohio |
Authorized Official Name and Position | Theresa Lynn Mcfarland (CORPORATION SECRETARY) |
Authorized Official Contact | 9372330748 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dermatology Allergy General Physicians Of Ohio Inc 5212 Brandt Pike Suite A Huber Heights OH 45424-6138 Ph: (937) 233-0748 | Dermatology Allergy General Physicians Of Ohio Inc 1000 W Michigan Street Sidney OH 45365-2404 Ph: (937) 492-5110 |
NPI Number | 1659574986 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 10/15/2009 |
Medicare PECOS PAC ID | 0547244972 |
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Medicare Enrollment ID | O20040615000288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659574986 | NPI | - | NPPES |
000000269197 | Other | OH | ANTHEM PIN |
368588672032 | Other | OH | MMO PIN |
000000011437 | Other | OH | ANTHEM PIN |
394601220032 | Other | OH | MMO PIN |
485805933030 | Other | OH | MMO PIN |
9190166 | Other | OH | PTAN |
000000011389 | Other | OH | ANTHEM PIN |
Provider Name | Magdy B Migally |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1992791388 PECOS PAC ID: 7719961150 Enrollment ID: I20071128000542 |
Provider Name | Nabil B Migally |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003802695 PECOS PAC ID: 2769656545 Enrollment ID: I20111111000546 |
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