New Carlisle Family Practice LLC
NPI #1699891085 in New Carlisle, Ohio
Provider Information
- NPI Number
- 1699891085
- Entity Type
- Organization
- Organization Name
- New Carlisle Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Apr 4, 2014
Practice Location
- Address
- 432 N MAIN ST
- City
- New Carlisle
- State
- Ohio
- ZIP Code
- 45344-1427
- Phone
- (937) 846-4000
Authorized Official
- Name
- ASHOK P DEVATHA, M.D.
- Title
- PHYSICIAN
- Phone
- (937) 846-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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