NPI 1205625340 · live from the CMS NPI Registry
Advance Internal Medicine Primary Care ,LLC
Internal Medicine in Beavercreek, OH. National Provider Identifier 1205625340, active.
NPI record
| NPI | 1205625340 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2322 Lakeview Dr, Beavercreek, OH 45431 |
| Practice phone | 937-345-5656 |
| Mailing address | 1416 Ashbury Park Pl, Dayton, OH 45458 |
| Enumerated | May 5, 2025 |
| Last updated | October 20, 2026 |
| Authorized official | Sameer Qamar, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.