Individual
OSA EMOHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS PHD
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 224-5170
Mailing address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 224-5170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R-09919
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101266084
VA
Other
Enumeration date
05/05/2014
Last updated
12/10/2020
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