Organization
GOOD SAMARITAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARAK CHANDRAMOHAN REDDY MD (RESIDENT)
(937) 602-0174
Entity
Organization
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2004
Mailing address
8896 MOTTER LN, MIAMISBURG, OH 45342-5469
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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