Individual
BINOY OUSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10600 MONTGOMERY RD STE 300, MONTGOMERY, OH 45242-4464
(513) 794-5600
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01052544A
IN
207RG0100X
Gastroenterology Physician
35.080342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200285670A
—
IN
01
—
236040310
MEDICARE PTAN
IN
Enumeration date
06/12/2006
Last updated
05/02/2024
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