Healthcare Provider Details

I. General information

NPI: 1972532810
Provider Name (Legal Business Name): SYDNEY S SAXENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 E GALBRAITH RD STE 111
CINCINNATI OH
45236-6706
US

IV. Provider business mailing address

4750 E GALBRAITH RD STE 111
CINCINNATI OH
45236-6706
US

V. Phone/Fax

Practice location:
  • Phone: 513-686-4840
  • Fax: 513-686-4848
Mailing address:
  • Phone: 513-686-4840
  • Fax: 513-686-4848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.082672
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.082672
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number35.082672
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: