Gastrocare Of Southwest Ohio, LLC
Internal Medicine, Gastroenterology in Hamilton, OH. Organization (NPI-2).
NPI number1962044271
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1962044271
- Entity type
- Organization (NPI-2)
- Legal business name
- Gastrocare Of Southwest Ohio, LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
520 Eaton AveHamilton, OH 45013-2716
Phone 573-896-2200
Mailing address
520 Eaton AveHamilton, OH 45013-2716
Phone 573-896-2200
Authorized official
Dilip Bearelly
Owner
5138962200
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