Elyria Internal Medicine, INC

NPI #1962737783 in Elyria, Ohio

Provider Information

NPI Number: 1962737783
Entity Type: Organization
Organization Name: Elyria Internal Medicine, INC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 13, 2009
Last Updated: Mar 24, 2014

Practice Location

Address: 125 E BROAD ST
Address 2: STE 202
City: Elyria
State: Ohio
ZIP Code: 44035-6400
Phone: (440) 329-7306

Authorized Official

Name: NIRAJ C MISTRY, MD
Title: MANAGING PARTNER
Phone: (440) 329-7306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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