Provider Demographics
NPI:1922104876
Name:NATH, GEETA (MD)
Entity Type:Individual
Prefix:DR
First Name:GEETA
Middle Name:
Last Name:NATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6442 SHADY OAK LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6674
Mailing Address - Country:US
Mailing Address - Phone:513-398-4937
Mailing Address - Fax:
Practice Address - Street 1:1755 S ERIE HWY
Practice Address - Street 2:SUITE C
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4144
Practice Address - Country:US
Practice Address - Phone:513-870-9444
Practice Address - Fax:513-870-0485
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049455A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine