| Internal Medicine Physicians Of Central Ohio Llc | |
|
660 London Ave Suite A Marysville OH 43040-1515 | |
| (937) 642-1550 | |
| (937) 578-2717 |
| Full Name | Internal Medicine Physicians Of Central Ohio Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 660 London Ave, Marysville, Ohio |
| Authorized Official Name and Position | Prasanna K Muniyappa (PHYSICIAN MEMBER) |
| Authorized Official Contact | 9376421550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Physicians Of Central Ohio Llc 660 London Ave Suite A Marysville OH 43040-1515 Ph: (937) 642-1550 | Internal Medicine Physicians Of Central Ohio Llc 660 London Ave Suite A Marysville OH 43040-1515 Ph: (937) 642-1550 |
| NPI Number | 1043300031 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043300031 | NPI | - | NPPES |
| 2565282 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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