MEDICARE: DELHI INTERNAL MEDICINE 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1578071080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELHI INTERNAL MEDICINE LLC

Provider Business Mailing Address
First Line	:	494 NEEB RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-5104
Country	:	US
Telephone Number	:	513-347-3302
Fax Number	:

Provider Business Practice Location Address
First Line	:	494 NEEB RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-5104
Country	:	US
Telephone Number	:	513-347-3302
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL JUSTIN
Credential	:	MD
Telephone Number	:	513-521-3600

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	09/11/2024

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