# DAYTON CARDIAC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295059129
- **Authorized official:** DR. PANKAJ KULSHRESTHA M.D. (PRESIDENT)
- **Authorized official phone:** (937) 938-9194

## Contact information

- **Practice address:** 627 S EDWIN C MOSES BLVD, SUITE EMP 5J, DAYTON, OH 45417-3461
- **Practice address phone:** (937) 938-9194
- **Practice address fax:** (937) 938-9242
- **Mailing address:** PO BOX 750243, DAYTON, OH 45475-0243
- **Mailing address phone:** (937) 938-9194
- **Mailing address fax:** (937) 938-9242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35088325 | OH | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2677116 | — | OH |