# GERIATRIC PRACTICE LLC

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

## Provider details

- **NPI number:** 1376842815
- **Authorized official:** DR. RAVINDER S MANN MD (OWNER)
- **Authorized official phone:** (513) 432-8735

## Contact information

- **Practice address:** 839 CHERRY ST, BLANCHESTER, OH 45107-1315
- **Practice address phone:** (513) 432-8735
- **Mailing address:** 9986 BOLINGBROKE DR, CINCINNATI, OH 45241-3677
- **Mailing address phone:** (513) 432-8735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 35D68907 | OH | Yes |

## Other

- **Enumeration date:** 03/23/2011
- **Last updated:** 03/23/2011
