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Organization
TRUMBULL INTERNAL MEDICINE INC.
Active
Organization
TRUMBULL INTERNAL MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBHASH KHATERPAUL MD (PRESIDENT DENTIST)
(330) 856-8148
Entity
Organization
Contact information
Practice address
628 NILES CORTLAND RD SE, SUITE # 102, WARREN, OH 44484-2473
(330) 856-8148
(330) 856-8159
Mailing address
628 NILES CORTLAND RD SE, SUITE #102, WARREN, OH 44484-2473
(330) 856-8148
(330) 856-8159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069121K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379459
ANTHEM
—
05
—
0197353
—
OH
01
—
331664
HEALTH ASSURANCE
—
01
—
5583069
AETNA
—
01
—
593088331008
MEDICAL MUTUAL
—
01
—
593088331009
HOWLAND
—
01
—
92344
QUALCHOICE
—
01
—
J69121
HEWHNFALLS SYMMECARE
—
Enumeration date
02/08/2007
Last updated
08/18/2015
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