Organization
MODERN INTERNAL MEDICINE OF CINCINNATI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEV GELMAN MD (OWNER)
(513) 251-9900
Entity
Organization
Contact information
Practice address
4871 PROSPERITY PL, CINCINNATI, OH 45238-4027
(513) 251-9900
(513) 244-3999
Mailing address
4871 PROSPERITY PL, CINCINNATI, OH 45238-4027
(513) 251-9900
(513) 244-3999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069624G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219767
—
OH
Enumeration date
04/19/2006
Last updated
08/22/2020
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