| Integrated Medical Group | |
|
4172 Indian Ripple Rd Suite A Dayton OH 45440-3285 | |
| (937) 431-3779 | |
| (937) 431-3776 |
| Full Name | Integrated Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4172 Indian Ripple Rd, Dayton, Ohio |
| Authorized Official Name and Position | Naynesh R Patel (PRESIDENT) |
| Authorized Official Contact | 9374313779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Group Po Box 73303 Cleveland OH 44193-0002 Ph: (937) 431-3779 | Integrated Medical Group 4172 Indian Ripple Rd Suite A Dayton OH 45440-3285 Ph: (937) 431-3779 |
| NPI Number | 1134192768 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134192768 | NPI | - | NPPES |
| 2366827 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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