Healthcare Provider Details

I. General information

NPI: 1134547185
Provider Name (Legal Business Name): ADIL QARNI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2014
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

3328 WESTBOURNE DR
CINCINNATI OH
45248-5133
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8282
  • Fax: 513-458-1986
Mailing address:
  • Phone: 513-922-2204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35132923CTR
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number35132923
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: