Provider Demographics
NPI:1861142960
Name:HERMD MEDICAL SERVICES TN, P.C.
Entity type:Organization
Organization Name:HERMD MEDICAL SERVICES TN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNBAL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-518-3330
Mailing Address - Street 1:8350 E KEMPER RD STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1684
Mailing Address - Country:US
Mailing Address - Phone:513-404-4166
Mailing Address - Fax:
Practice Address - Street 1:885 MONON GREEN BLVD STE 118
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3359
Practice Address - Country:US
Practice Address - Phone:513-404-4166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOMI JAVAID MD AND ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty