Organization
DAYTON CARDIAC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ KULSHRESTHA M.D. (PRESIDENT)
(937) 938-9194
Entity
Organization
Contact information
Practice address
627 S EDWIN C MOSES BLVD, SUITE EMP 5J, DAYTON, OH 45417-3461
(937) 938-9194
(937) 938-9242
Mailing address
PO BOX 750243, DAYTON, OH 45475-0243
(937) 938-9194
(937) 938-9242
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35088325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2677116
—
OH
Enumeration date
03/22/2010
Last updated
06/15/2010
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