Organization
ADVANCED SPINE & PAIN MANAGEMENT INC
Active
Organization
ADVANCED SPINE & PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKARRAM ALI KHAN D.O. (PRESIDENT)
(513) 624-7246
Entity
Organization
Contact information
Practice address
7691 5 MILE RD, SUITE 10, CINCINNATI, OH 45230-4348
(513) 624-7246
(513) 624-6900
Mailing address
7691 5 MILE RD, SUITE 10, CINCINNATI, OH 45230-2163
(513) 624-7246
(513) 624-6900
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
34.008823
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
34.008823
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
OH
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488997
ANTHEM
OH
01
—
150730
NATIONWIDE
OH
05
—
2679703
—
OH
01
—
296827989001
MEDICAL MUTUAL
—
01
—
317306
AMERIGROUP
OH
01
—
617433400
DEPT OF LABOR - MD
OH
01
—
617433403
US DEPT OF LABOR - SPRINGFIELD OFFICE
OH
01
—
617433404
US DEPT OF LABOR - EATON OFFICE
OH
01
—
617433406
US DEPT OF LABOR - SPRINGBORO OFFICE
OH
01
—
617465100
DEPT. OF LABOR - APRN
OH
01
—
6226080
CIGNA
OH
05
—
7100240230 MD GRP #
—
OH
05
—
7100287020 -NP GROUP
—
KY
05
—
7100315340 - MD GRP
—
KY
01
—
P00415701
RAILROAD MEDICARE
OH
Enumeration date
09/16/2006
Last updated
06/28/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up