# CINCINNATI PAIN PHYSICIANS

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

## Provider details

- **NPI number:** 1386014298
- **Authorized official:** DR. GURURAU SUDARSHAN (MD/CEO)
- **Authorized official phone:** (513) 673-9612

## Contact information

- **Practice address:** 8261 CORNELL RD STE 630, CINCINNATI, OH 45249-2279
- **Practice address phone:** (513) 891-0022
- **Practice address fax:** (513) 672-0830
- **Mailing address:** 8261 CORNELL RD, SUITE 630, CINCINNATI, OH 45249-2278
- **Mailing address phone:** (513) 891-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | COA.17640-NP | OH | — |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 04/03/2024