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Organization

CAPITAL CITY INTERNAL MEDICINE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANDANA EMAMI M.D. (PRESIDENT)
(614) 777-9804
Entity
Organization

Contact information

Practice address
6870 PERIMETER DR, SUITE B, DUBLIN, OH 43016-8047
(614) 777-9804
(614) 777-9806
Mailing address
6870 PERIMETER DR, SUITE B, DUBLIN, OH 43016-8047
(614) 777-9804
(614) 777-9806

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35082399
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3011823
OH
Enumeration date
10/30/2007
Last updated
12/18/2014
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