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Organization

WESTERN HILLS INTERVENTIONAL PAIN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUNG KI MIN MD (MD/OWNER)
(513) 842-7781
Entity
Organization

Contact information

Practice address
3860 RACE RD STE 203, CINCINNATI, OH 45211-4307
(513) 842-7781
(513) 842-7783
Mailing address
6460 HARRISON AVE, SUITE 300, CINCINNATI, OH 45247-7957
(513) 842-7781
(513) 842-7783

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35084990
OH
208VP0014X
Interventional Pain Medicine Physician
35084990
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056085
OH
05
201047290
IN
Enumeration date
07/01/2011
Last updated
05/01/2018
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