Organization
INTERNAL MEDICINE AND GERIATRICS SERVICES, LLC
Active
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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