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Contact Information

ITM GERIATRIC SPECIALIST, LLC
619 OAK ST
RM 645
CINCINNATI, OH45206-1613
 Phone: 513-569-6780
 Fax: 513-569-6555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for ITM GERIATRIC SPECIALIST, LLC

NPI Number 1073668315
LBN Legal business name ITM GERIATRIC SPECIALIST, LLC
Authorized official IMRAN MINHAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 10/07/2009 - About 17 years ago
Identifiers
OH Medicaid 2958983
OH Other DF8219 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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