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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us