Organization
MIAMI VALLEY SURGICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIRISH NAGESETTY M.D. (MEDICAL DOCTOR)
(513) 829-7133
Entity
Organization
Contact information
Practice address
1251 NILLES RD STE 17, FAIRFIELD, OH 45014-7205
(513) 829-7133
Mailing address
1251 NILLES RD STE 17, FAIRFIELD, OH 45014-7205
(513) 829-7133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020035363
RAILROAD MEDICARE
OH
05
—
2010586
—
OH
Enumeration date
10/23/2007
Last updated
11/19/2013
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