Individual
PRASANTH LINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 CEREAL AVE, SUITE 207, HAMILTON, OH 45013-2784
(513) 867-3331
(513) 867-2667
Mailing address
1010 CEREAL AVE, SUITE 207, HAMILTON, OH 45013-2784
(513) 867-3331
(513) 867-2667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-052051
IL
207RC0000X
Cardiovascular Disease Physician
35121968
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.121968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089392
—
OH
Enumeration date
07/08/2008
Last updated
01/18/2021
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