Cincinnati Pain Physicians LLC
in Cincinnati, OH. Organization (NPI-2).
NPI number1457790941
StatusActive
Last updated in NPPESApr 3, 2024
Details
- NPI
- 1457790941
- Entity type
- Organization (NPI-2)
- Legal business name
- Cincinnati Pain Physicians LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2013
- Certification date
- Apr 3, 2024
- Last updated
- Apr 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | 2199579 | OH | Yes |
Practice location
8261 Cornell Rd# 630
Cincinnati, OH 45249-2278
Phone 513-891-0022 · Fax 513-672-0830
Mailing address
8261 Cornell Rd# 630
Cincinnati, OH 45249-2278
Phone 513-891-0022 · Fax 513-672-0830
Authorized official
Gururau Sudarshan
MD/Ceo
5136739612
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