Healthcare Provider Details

I. General information

NPI: 1811693229
Provider Name (Legal Business Name): CINCY ARTHRITIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9403 KENWOOD RD STE C100
BLUE ASH OH
45242-6857
US

IV. Provider business mailing address

9403 KENWOOD RD STE C100
BLUE ASH OH
45242-6857
US

V. Phone/Fax

Practice location:
  • Phone: 513-991-9990
  • Fax: 513-991-9989
Mailing address:
  • Phone: 513-991-9990
  • Fax: 513-991-9989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MISS TARA ADHIKARI
Title or Position: OWNER
Credential: MD
Phone: 513-991-9990