Healthcare Provider Details

I. General information

NPI: 1609841923
Provider Name (Legal Business Name): FAMILY MEDICAL CARE PLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/29/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33790 BAINBRIDGE RD STE 207
SOLON OH
44139-2982
US

IV. Provider business mailing address

33790 BAINBRIDGE RD STE 207
SOLON OH
44139-2982
US

V. Phone/Fax

Practice location:
  • Phone: 800-515-9087
  • Fax: 330-633-6658
Mailing address:
  • Phone: 800-515-9087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANURAG WILLIAM KEDIA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 800-515-9087