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
Fax: (740) 592-4844
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316940364 NPPES
Other CO4026061 MEDICARE PROVIDER NUMBER
MEDICAID 2208248 MEDICARE PROVIDER NUMBER

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