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Organization
RS MEDICAL GROUP
Active
Organization
RS MEDICAL GROUP
Active
Other names
Elmore Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA M. RAGOTHAMAN M.D. (PRESIDENT)
(419) 862-2916
Entity
Organization
Contact information
Practice address
3105 SOUTH STATE ROUTE 51, ELMORE, OH 43416-0067
(419) 862-2916
(419) 862-1701
Mailing address
PO BOX 67, ELMORE, OH 43416-0067
(419) 862-2916
(419) 862-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35037046
OH
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152338
—
OH
05
—
0181646
—
OH
05
—
0290288
—
OH
05
—
7351404
—
OH
Enumeration date
06/05/2007
Last updated
02/18/2019
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