Individual
DR. SUJIT BHIMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST STE 5254, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-2678
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.065145
IL
207T00000X
Neurological Surgery Physician
Primary
35.141070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433895
—
OH
Enumeration date
06/25/2014
Last updated
06/15/2022
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