Individual
DR. GURURAU SUDARSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCA, FFARCSI
Contact information
Practice address
8261 CORNELL RD, SUITE 630, CINCINNATI, OH 45249-2278
(513) 891-0022
(513) 672-0830
Mailing address
PO BOX 631648, CINCINNATI, OH 45263-1648
(513) 891-0022
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35070633
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35070633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299690
—
OH
01
—
SU0809923
MEDICARE ID-
—
Enumeration date
07/08/2005
Last updated
04/03/2024
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