Cardiologists Of Greene County, LLC
Clinic/Center in Beavercreek, OH. Organization (NPI-2).
NPI number1376918821
StatusActive
Last updated in NPPESDec 9, 2015
Details
- NPI
- 1376918821
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiologists Of Greene County, LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2015
- Last updated
- Dec 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | COA 18295-NP | OH | Yes |
Practice location
2365 Lakeview DrBeavercreek, OH 45431-4600
Phone 937-376-8336
Mailing address
2365 Lakeview DrBeavercreek, OH 45431-4600
Phone 937-376-8336
Authorized official
Ashraf Koraym
Business Owner
9373768336
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