Tedros Andom, Md Llc

LBN: Tedros Andom, Md Llc
Tedros Andom, Md Llc is an health care organization with primary practice located at 2624 Lexington Ave Suite 340, Springfield OH 45505-2607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Tedros Andom, Md Llc can be contacted via phone (937) 688-1588, or through Andom, Tedros via phone (937) 323-2690.

Contact Information

Primary practice address
2624 Lexington Ave Suite 340 Springfield OH 45505-2607
Phone: (937) 688-1588
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andom, Tedros Doctor of Medicine (MD)
Phone: (937) 323-2690

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-091693 Ohio

Profile Details

NPI number 1336300086
LBN Legal business name Tedros Andom, Md Llc
DBA Doing business as
Authorized official Andom, Tedros Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Aug 5th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336300086 NPPES
Ohio MEDICAID 2854326

Popular Providers