MEDICARE: INTERNAL MED INPATIENT PRACTICE 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

General Provider Information

NPI Number	:	1669414033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MED INPATIENT PRACTICE INC

Provider Business Mailing Address
First Line	:	PO BOX 13149
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213
Country	:	US
Telephone Number	:	614-577-1077
Fax Number	:	614-235-5194

Provider Business Practice Location Address
First Line	:	1087 DENNISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3201
Country	:	US
Telephone Number	:	614-484-9600
Fax Number	:	614-299-9198

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMAL SHERZAI
Credential	:	MD
Telephone Number	:	614-235-2326

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	05/13/2024

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