Provider Demographics
NPI:1992684336
Name:SUGARMAN & ROZZO INTERNAL MEDICINE LLC
Entity type:Organization
Organization Name:SUGARMAN & ROZZO INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRAYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-458-3685
Mailing Address - Street 1:5400 KENNEDY AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-2665
Mailing Address - Country:US
Mailing Address - Phone:513-458-3685
Mailing Address - Fax:513-924-5472
Practice Address - Street 1:5400 KENNEDY AVE STE 4
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2665
Practice Address - Country:US
Practice Address - Phone:513-458-3685
Practice Address - Fax:513-924-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty