Organization
SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV PATEL MD (OWNER)
(937) 383-1588
Entity
Organization
Contact information
Practice address
630 W MAIN ST, SUITE 307, WILMINGTON, OH 45177-2170
(937) 383-1588
(937) 383-4525
Mailing address
630 W MAIN ST, SUITE 307, WILMINGTON, OH 45177-2170
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078273
—
OH
Enumeration date
03/27/2006
Last updated
10/14/2016
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