Individual
DR. VIVEKANAND MANOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7423 S MASON MONTGOMERY ROAD, MASON, OH 45040
(513) 354-3700
(513) 754-2014
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-3705
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35-087792
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
MMOH
OH
01
—
000000513746
ANTHEM
OH
01
—
20547559600
BWC
OH
05
—
2675850
—
OH
05
—
2841465
—
OH
Enumeration date
07/24/2006
Last updated
07/15/2024
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