Itm Geriatric Specialist, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

ITM GERIATRIC SPECIALIST, LLC

Practice address

619 Oak St
RM 645
Cincinnati, OH 45206-1613

Phone

(513) 569-6780

Fax

(513) 569-6555

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Imran T Minhas, MD

Title

Owner

Phone

(513) 569-6780

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1073668315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635627",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630044",
            "telephone_number": "513-891-7574",
            "fax_number": "513-891-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 OAK ST",
            "address_2": "RM 645",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061613",
            "telephone_number": "513-569-6780",
            "fax_number": "513-569-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITM GERIATRIC SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "MINHAS",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-569-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF8219",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958983",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moriah Israel, MSW
• Shamauel Israel
• Sharyn Israel
• Yiskah R Israel
• It Takes a Village to Save Lives
• Its a New Day Behavioral Daycare Center
• Debra Jo Itskin, LPN
• Maralyn Itzkowitz, MD
• Ivan Tuskan, M.D. Inc.
• Susie Martha Ivanov, PA-C

• Geriatric Medicine (Family Medicine) Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.