Organization
ADVANCED NEUROSURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL M TAHA MD (OWNER / PRESIDENT)
(937) 299-8242
Entity
Organization
Contact information
Practice address
1989 MIAMISBURG CENTERVILLE RD STE 304, CENTERVILLE, OH 45459-3823
(937) 299-8242
(844) 701-8968
Mailing address
PO BOX 42255, CINCINNATI, OH 45242-0255
(937) 299-8242
(844) 701-8944
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2914841
—
OH
01
—
9331671
MEDICARE PTAN
OH
Enumeration date
05/18/2006
Last updated
06/25/2025
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