Individual
OMDEVASENA THIRUGNANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8250 KENWOOD CROSSING WAY, SUITE 225, CINCINNATI, OH 45236-3670
(513) 721-7533
(513) 721-1036
Mailing address
8250 KENWOOD CROSSING WAY, SUITE 225, CINCINNATI, OH 45236-3670
(513) 721-7533
(513) 721-1036
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
35-094181
OH
390200000X
Student in an Organized Health Care Education/Training Program
57012157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201034240
INDIANA MEDICAID
IN
01
—
57012157
MD TRAINING CERTIFICATE
OH
Enumeration date
06/13/2007
Last updated
11/26/2014
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