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NPI Code Detail

MEDICARE: DR. PATRICK U MEZU MD

MEDICARE:  DR. PATRICK U MEZU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician35.076704OH
2207R00000XInternal Medicine Physician35-076704OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H194022OTHEROHMEDICARE PTAN
2P01467108OTHEROHRRMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912924861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK U MEZU MD
Provider Business Mailing Address
First Line : PO BOX 750084
Second Line :
City : DAYTON
State : OH
Zip : 45475-0084
Country : US
Telephone Number : 937-556-4324
Fax Number : 937-350-6477
Provider Business Practice Location Address
First Line : 2400 MIAMI VALLEY DR
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4774
Country : US
Telephone Number : 937-660-6907
Fax Number : 937-350-6477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 10/29/2024

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Directions to “ DR. PATRICK U MEZU MD” Practice Location

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