Organization
NEURO ANIMATION SRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV GUPTA (INTERIM COO)
(614) 758-8889
Entity
Organization
Contact information
Practice address
6530 W CAMPUS OVAL STE 160, NEW ALBANY, OH 43054-9454
(614) 758-8889
(815) 368-4094
Mailing address
6530 W CAMPUS OVAL STE 160, NEW ALBANY, OH 43054-9454
(614) 758-8889
(815) 368-4094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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