Organization
CENTER FOR ADVANCED SPINE TECHNOLOGIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABUBAKAR ATIQ DURRANI M.D. (PRESIDENT)
(513) 281-2278
Entity
Organization
Contact information
Practice address
6905B BURLINGTON PIKE, FLORENCE, KY 41042-1618
(513) 281-2278
(513) 733-1990
Mailing address
10475 READING RD, STE 209, CINCINNATI, OH 45241-2563
(513) 281-2278
(513) 221-8219
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200930810
—
IN
05
—
2921244
—
OH
05
—
7100166230
—
KY
05
—
7100166250
—
KY
05
—
7100193890
—
KY
Enumeration date
12/17/2008
Last updated
04/16/2013
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