NPI 1093960320 · live from the CMS NPI Registry
After-Hours Internal Medicine LLC
Internal Medicine in Beavercreek, OH. National Provider Identifier 1093960320, active.
NPI record
| NPI | 1093960320 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2361 Lakeview Dr, Beavercreek, OH 45431 |
| Practice phone | 937-751-7477 |
| Mailing address | Po Box 2026, Fairborn, OH 45324 |
| Enumerated | December 1, 2008 |
| Last updated | September 17, 2012 |
| Authorized official | Raymond Gaier, Business Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 35050604 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.