Organization
SYAMOQ ELDERCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED A MOQEETH MD (OWNER)
(513) 569-6780
Entity
Organization
Contact information
Practice address
619 OAK ST, STE 645, CINCINNATI, OH 45206-1613
(513) 569-6780
(513) 789-8491
Mailing address
PO BOX 638196, CINCINNATI, OH 45263-8196
(513) 569-6780
(513) 789-8491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903770A
—
IN
05
—
2957448
—
OH
01
—
DP4690
RR MEDICARE
OH
Enumeration date
09/21/2006
Last updated
04/10/2013
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