Troy Internal Medicine, Inc.

Organization Active NPI Internal Medicine Physician · Troy, OH

NPI 1871798413 · NPPES record last updated Feb 4, 2010

Key facts

NPI
1871798413
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
35037618N (OH)
Legal business name
TROY INTERNAL MEDICINE, INC.
Practice address
530 Crescent Dr
Troy, OH 45373-2718
Phone
(937) 339-3838
Fax
(937) 335-1232
NPI assigned
Jun 15, 2007
Organization subpart
No

Authorized official

Name
Thomas J Nickras, MD
Title
Owner Partner
Phone
(937) 339-3838

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207R00000X 35037618N OH Yes
Internal Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207R00000X 35036285N OH

Addresses

Primary practice location

530 Crescent Dr
Troy, OH 45373-2718

Mailing address

530 Crescent Dr
Troy, OH 45373-2718
Phone (937) 339-3838

Other identifiers

IdentifierTypeStateIssuer
0212442MedicaidOH

Other providers in Troy, OH

All providers in Troy, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.