Provider Demographics
NPI:1174914683
Name:CLINCARE INTERNATIONAL CENTER LTD
Entity type:Organization
Organization Name:CLINCARE INTERNATIONAL CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:MS COMPUTER SCIENCE
Authorized Official - Phone:937-429-2422
Mailing Address - Street 1:2416 ESQUIRE DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-2573
Mailing Address - Country:US
Mailing Address - Phone:937-429-2422
Mailing Address - Fax:937-352-4111
Practice Address - Street 1:2416 ESQUIRE DR
Practice Address - Street 2:SUITE B
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-2573
Practice Address - Country:US
Practice Address - Phone:937-429-2422
Practice Address - Fax:937-352-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
35.100278207R00000X
OH35.087069207RC0000X
35.046160207RN0300X
OHDC.3089111N00000X
OH35.125600207Q00000X
OH34.007858207V00000X
OH35.0757042084P0800X
OH35.1260262084P0800X
251E00000X
OH35.086273207L00000X
OH35.075882207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty