Healthcare Provider Details

I. General information

NPI: 1083391569
Provider Name (Legal Business Name): RSI CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4404 GLEN ESTE WITHAMSVILLE RD STE F
CINCINNATI OH
45245-1306
US

IV. Provider business mailing address

3705 HUDSON HILLS LN
MASON OH
45040-2780
US

V. Phone/Fax

Practice location:
  • Phone: 858-382-2641
  • Fax:
Mailing address:
  • Phone: 858-382-2641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FARBOD RASTEGAR
Title or Position: PHYSICIAN
Credential: MD
Phone: 858-382-2641