Healthcare Provider Details
I. General information
NPI: 1295167542
Provider Name (Legal Business Name): ANESTHESIA PARTNERS OF CINCINNATI LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2013
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8261 CORNELL RD #630
CINCINNATI OH
45249-2278
US
IV. Provider business mailing address
8261 CORNELL RD #630
CINCINNATI OH
45249-2278
US
V. Phone/Fax
- Phone: 513-891-0022
- Fax: 513-891-8651
- Phone: 513-891-0022
- Fax: 513-891-8651
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GURURAU
SUDARSHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 513-891-0022