Organization
INTERNAL MEDICINE ASSOCIATES OF MID-OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA S GARBADAWALA MD (OWNER)
(419) 747-1601
Entity
Organization
Contact information
Practice address
465 NORTH HOME RD, MANSFIELD, OH 44906-2323
(419) 747-1601
(419) 747-1610
Mailing address
465 NORTH HOME RD, MANSFIELD, OH 44906-2323
(419) 747-1601
(419) 747-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131231
—
OH
Enumeration date
07/25/2006
Last updated
04/26/2010
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