Healthcare Provider Details

I. General information

NPI: 1144698861
Provider Name (Legal Business Name): K M NARASIMHAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2015
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8325 CAROLINES TRL
CINCINNATI OH
45242-4544
US

IV. Provider business mailing address

8325 CAROLINES TRL
CINCINNATI OH
45242-4544
US

V. Phone/Fax

Practice location:
  • Phone: 513-235-8460
  • Fax:
Mailing address:
  • Phone: 513-235-8460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35-036889
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35-036889
License Number StateOH

VIII. Authorized Official

Name: DR. KULUMANI M NARASIMHAN
Title or Position: OWNER
Credential: MD
Phone: 513-235-8460