| Mid West Infectious Disease | |
|
830 W High St Suite 250 Lima OH 45801-3971 | |
| (419) 296-8309 | |
| (419) 226-9633 |
| Full Name | Mid West Infectious Disease |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 W High St, Lima, Ohio |
| Authorized Official Name and Position | Solomon Mehari Beraki (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4192968309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid West Infectious Disease 2510 Breezewood Ln Lima OH 45805-3893 Ph: (419) 296-8309 | Mid West Infectious Disease 830 W High St Suite 250 Lima OH 45801-3971 Ph: (419) 296-8309 |
| NPI Number | 1538331954 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 1355413493 |
|---|---|
| Medicare Enrollment ID | O20080707000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538331954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 35087816 (Ohio) | Primary |
| Provider Name | Solomon Mehari Beraki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386683357 PECOS PAC ID: 8224041231 Enrollment ID: I20060717000074 |
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