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NPI Code Detail

MEDICARE: OVIDIU GHITA D.O.

MEDICARE:   OVIDIU  GHITA  D.O.
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 PhysicianAP2282058A16OH
2207R00000XInternal Medicine PhysicianOS14402FL
3207R00000XInternal Medicine Physician4915TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518228121
Entity Type Code : Individual
Provider Name (Legal Business Name) : OVIDIU GHITA D.O.
Provider Business Mailing Address
First Line : 1436 W MAIN ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-1323
Country : US
Telephone Number : 615-965-6108
Fax Number : 877-504-1444
Provider Business Practice Location Address
First Line : 1436 W MAIN ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-1323
Country : US
Telephone Number : 615-965-6108
Fax Number : 877-504-1444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 05/04/2023

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