Individual
DILIP BEARELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 EATON AVE STE 100, HAMILTON, OH 45013-2716
(513) 896-2200
(513) 894-0096
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007022716
MO
207R00000X
Internal Medicine Physician
MD428129
PA
207RG0100X
Gastroenterology Physician
2007022716
MO
207RG0100X
Gastroenterology Physician
Primary
35.125020
OH
208M00000X
Hospitalist Physician
MD.203986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117444
—
OH
05
—
02236857
—
MS
05
—
204466304
—
MO
05
—
2118153
—
LA
Enumeration date
10/23/2006
Last updated
11/06/2018
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