Organization
TRI-STATE PAIN MANAGEMENT SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIRAM L ATLURI MD (PRESIDENT OWNER)
(859) 341-7246
Entity
Organization
Contact information
Practice address
7500 STATE RD, MERCY ANDERSON HOSPITAL, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
L-6067, CINCINNATI, OH 45270-6067
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529320A
—
IN
05
—
2044773
—
OH
01
—
5124498
CIGNA
—
01
—
610168000
FEDERAL WORKERS COMP
—
05
—
65944233
—
KY
01
—
728014
BUCKEYE
—
Enumeration date
04/01/2008
Last updated
04/20/2008
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