Organization
ELYRIA INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAJ C MISTRY MD (MANAGING PARTNER)
(440) 329-7306
Entity
Organization
Contact information
Practice address
125 E BROAD ST, STE 202, ELYRIA, OH 44035-6400
(440) 329-7306
(440) 329-7798
Mailing address
125 E BROAD ST, STE 202, ELYRIA, OH 44035-6400
(440) 329-7306
(440) 329-7798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3029565
—
OH
Enumeration date
10/13/2009
Last updated
03/24/2014
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