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NPI Code Detail

MEDICARE: TRI-STATE HOSPITALISTS LLC

MEDICARE: TRI-STATE HOSPITALISTS LLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1952740359
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-STATE HOSPITALISTS LLC
Provider Business Mailing Address
First Line : 1 RIVERFRONT PL FL 6
Second Line :
City : NEWPORT
State : KY
Zip : 41071-4572
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6941 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2327
Country : US
Telephone Number : 513-538-4327
Fax Number : 513-271-8033
Authorized Official
Title or Position : PRESIDENT
Name : ANDREW CASTELLANOS
Credential : MD
Telephone Number : 513-538-4327
Provider Enumeration Date : 06/19/2013
Last Update Date : 05/01/2023

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Directions to “TRI-STATE HOSPITALISTS LLC ” Practice Location

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