Conjeevaram, Geetha
Conjeevaram, Geetha is an individual health care provider with primary practice located at 75 Hospital Dr Suite 350, Athens OH 45701-2857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Conjeevaram, Geetha can be contacted via phone (740) 592-4491.Contact Information
Primary practice address
75 Hospital Dr Suite 350
Athens OH 45701-2857
Phone: (740) 592-4491
Fax: (740) 592-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-78271 | Ohio |
Profile Details
| NPI number | 1316940364 |
|---|---|
| LBN Legal business name | Conjeevaram, Geetha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316940364 | NPPES |
| Other | CO4026061 | MEDICARE PROVIDER NUMBER | |
| MEDICAID | 2208248 | MEDICARE PROVIDER NUMBER |
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