Organization
GERICARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHWETAL G DESAI M.D (PRESIDENT)
(513) 863-4717
Entity
Organization
Contact information
Practice address
5157 PLEASANT AVE, FAIRFIELD, OH 45014-2622
(513) 863-4717
(513) 863-5118
Mailing address
5157 PLEASANT AVE, FAIRFIELD, OH 45014-2622
(513) 863-4717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114115102
MEDICARE NPI
OH
05
—
2837676
—
OH
01
—
9337721
MEDICARE PCAN
OH
Enumeration date
10/04/2007
Last updated
03/26/2019
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