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TRUMBULL INTERNAL MEDICINE INC. NPI 1861533507


NPI Information

NPI: 1861533507
Provider Name: TRUMBULL INTERNAL MEDICINE INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
628 NILES CORTLAND RD SE
SUITE # 102
WARREN, OH
ZIP 44484
Phone: (330) 856-8148
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TRUMBULL INTERNAL MEDICINE INC. is an internal medicine in Warren, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TRUMBULL INTERNAL MEDICINE INC. NPI is 1861533507. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

628 NILES CORTLAND RD SE
SUITE # 102
WARREN, OH
ZIP 44484-473
Phone: (330) 856-8148
Fax: (330) 856-8159

The provider's authorized official is Subhash Khaterpaul .
The authorized official title is President Dentist and has the following contact phone number (330) 856-8148.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine35069121KOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10197353MEDICAIDOHIO
2593088331008OTHERMEDICAL MUTUAL
3E15273MEDICARE UPIN
49358221MEDICARE ID-TYPE UNSPECIFIED
5000000379459OTHERANTHEM
6593088331009OTHERHOWLAND
792344OTHERQUALCHOICE
8331664OTHERHEALTH ASSURANCE
9J69121OTHERHEWHNFALLS SYMMECARE
10=========OTHERTRICARE
115583069OTHERAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.