Individual
SAIRAM L ATLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7655 5 MILE RD STE 117, CINCINNATI, OH 45230-4326
(513) 624-7525
(513) 624-0578
Mailing address
7655 5 MILE RD STE 117, CINCINNATI, OH 45230-4326
(513) 624-7525
(513) 624-0578
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35068859A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350928
ANTHEM BLUE SHIELD
—
01
—
10818917
CAQH
—
05
—
200377720
—
IN
05
—
2044773
—
OH
01
—
352199392
BUREAU OF WORKERS COMP
—
01
—
5757645
AETNA
—
01
—
610168000
FEDERAL WORKERS COMP
—
05
—
64059264
—
KY
Enumeration date
11/15/2005
Last updated
03/24/2020
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