Provider Demographics
NPI:1609841923
Name:FAMILY MEDICAL CARE PLUS INC
Entity Type:Organization
Organization Name:FAMILY MEDICAL CARE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANURAG
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KEDIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-515-9087
Mailing Address - Street 1:33790 BAINBRIDGE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2982
Mailing Address - Country:US
Mailing Address - Phone:800-515-9087
Mailing Address - Fax:
Practice Address - Street 1:33790 BAINBRIDGE RD STE 207
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2982
Practice Address - Country:US
Practice Address - Phone:800-515-9087
Practice Address - Fax:330-633-6658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2595946Medicaid
OHDC0489Medicare PIN
OH9343781Medicare PIN