Individual
SURESH KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 475-8524
(513) 475-7327
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-080547
OH
207RN0300X
Nephrology Physician
Primary
35-080547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200376230
—
IN
05
—
2342398
—
OH
05
—
64052111
—
KY
01
—
P00053562
RAIL ROAD MEDICARE
OH
Enumeration date
04/21/2006
Last updated
08/14/2017
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