Healthcare Provider Details

I. General information

NPI: 1114942752
Provider Name (Legal Business Name): SITARAMESH EMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 138
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2139 AUBURN AVE
CINCINNATI OH
45219-2989
US

V. Phone/Fax

Practice location:
  • Phone: 513-206-1180
  • Fax: 513-206-1182
Mailing address:
  • Phone: 513-351-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0001X
TaxonomyClinical & Laboratory Immunology (Internal Medicine) Physician
License Number35093674
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number35093674
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: