MEDICARE: INTERNAL MEDICINE GROUP INC

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		OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CE9289	OTHER	OH	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1588664502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE GROUP INC

Provider Business Mailing Address
First Line	:	88 CENTER RD STE 350
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-2775
Country	:	US
Telephone Number	:	440-439-7766
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 CENTER RD STE 350
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-2775
Country	:	US
Telephone Number	:	440-439-7766
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KANDASMY UMAPATHY
Credential	:	M.D.
Telephone Number	:	440-439-7766

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	04/26/2023

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Directions to “INTERNAL MEDICINE GROUP INC ” Practice Location

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