Portage Internal Medicine Associates LLC
Portage Internal Medicine Associates LLC is a Geriatric Medicine (Internal Medicine) Physician in Kent, Ohio. Licensed in Ohio. Registered with an NPI since 2007.
- Licensed in
- OH
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
503 Overlook DrKent, OH 44240-5824
Phone: (330) 645-6463
Fax: (330) 645-6462
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence 34006535 (OH) |
|---|
Record details
| NPI number | 1083809784 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dean Deperro — Physican · (330) 346-0800 |
| NPI enumerated | September 6, 2007 |
| Last updated in NPPES | December 20, 2023 |
| Certification date | December 20, 2023 |
| Mailing address | Po Box 45519, Westlake, OH 44145-0519 |