Organization
PROGRESSIVE INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAN KHOSLA M.D. (PRESIDENT)
(937) 287-5435
Entity
Organization
Contact information
Practice address
38 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 886-1100
(937) 886-1101
Mailing address
38 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 886-1100
(937) 886-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2879345
—
OH
Enumeration date
09/14/2005
Last updated
06/30/2014
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