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Individual

JUAN CARLOS MEJIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-3452
(513) 862-3421
Mailing address
PO BOX 636799, CINCINNATI, OH 45263-0001
(513) 862-3452
(513) 862-3421

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35077484
OH
208M00000X
Hospitalist Physician
Primary
35077484
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2155957
OH
05
64004773
KY
Enumeration date
11/18/2005
Last updated
07/01/2015
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