# EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083684112
- **Authorized official:** JYOTI J MEHTA MD (PRESIDENT)
- **Authorized official phone:** (513) 724-2226

## Contact information

- **Practice address:** 1001 W MAIN ST, WILLIAMSBURG, OH 45176-1146
- **Practice address phone:** (513) 724-2226
- **Practice address fax:** (513) 724-5248
- **Mailing address:** PO BOX 643113, CINCINNATI, OH 45264-0307
- **Mailing address phone:** (513) 724-2226
- **Mailing address fax:** (513) 724-5248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 03/25/2010