Eastside Internal Medicine-Geriatrics, Inc

LBN: Eastside Internal Medicine-Geriatrics, Inc
Eastside Internal Medicine-Geriatrics, Inc is an health care organization with primary practice located at 1001 W Main St , Williamsburg OH 45176-1146. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Eastside Internal Medicine-Geriatrics, Inc can be contacted via phone (513) 724-2226, or through Mehta, Jyoti J via phone (513) 724-2226.

Contact Information

Primary practice address
1001 W Main St Williamsburg OH 45176-1146
Phone: (513) 724-2226
Fax: (513) 724-5248
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Jyoti J Doctor of Medicine (MD)
Phone: (513) 724-2226

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1083684112
LBN Legal business name Eastside Internal Medicine-Geriatrics, Inc
DBA Doing business as
Authorized official Mehta, Jyoti J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083684112 NPPES
Ohio Other DO8367 RR MCR
Ohio MEDICAID 3007721 RR MCR

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