Organization
MEDICINE INPATIENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU P CHALASANI MD (MANAGING PARTNER)
(513) 706-8706
Entity
Organization
Contact information
Practice address
6730 ROOSEVELT AVE, STE 303, MIDDLETOWN, OH 45005-5730
(513) 618-7430
(513) 280-8868
Mailing address
PO BOX 229, MIAMISBURG, OH 45343-0229
(513) 618-7430
(513) 280-8868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200987660 A
—
IN
05
—
2814208
—
OH
05
—
7100178830
—
KY
01
—
DN3587
RR MEDICARE
—
Enumeration date
10/26/2007
Last updated
10/11/2022
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