Organization
INTERNAL MEDICINE AND GERIATRICS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDRIUS RUKSENAS MD (OWNER)
(513) 722-6037
Entity
Organization
Contact information
Practice address
3572 FAWNRUN DR, CINCINNATI, OH 45241-3832
(513) 889-9902
(513) 793-0729
Mailing address
PO BOX 635739, CINCINNATI, OH 45263-0044
(513) 889-9902
(513) 793-0729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2950374
—
OH
01
—
DG0522
RR MEDICARE
OH
Enumeration date
05/16/2007
Last updated
01/31/2023
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