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Organization
CINCINNATI PAIN PHYSICIANS
Active
Organization
CINCINNATI PAIN PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURURAU SUDARSHAN (MD/CEO)
(513) 673-9612
Entity
Organization
Contact information
Practice address
8261 CORNELL RD STE 630, CINCINNATI, OH 45249-2279
(513) 891-0022
(513) 672-0830
Mailing address
8261 CORNELL RD, SUITE 630, CINCINNATI, OH 45249-2278
(513) 891-0022
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
COA.17640-NP
OH
Other
Enumeration date
10/05/2015
Last updated
04/03/2024
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