Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great Health Medical Oh Inc

Organization Family Medicine Physician · NPI 1104630912

Great Health Medical Oh Inc provides Family Medicine Physician services in Wooster, Ohio. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1552 N Honeytown Rd
Wooster, OH 44691-9511
Phone: (718) 470-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104630912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azlan Tariq — Owner · (312) 709-7238
NPI enumeratedFebruary 3, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address407 Willoughby Ave, Brooklyn, NY 11205-4590

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