Healthcare Provider Details
I. General information
NPI: 1174798441
Provider Name (Legal Business Name): COMPREHENSIVE HEADACHE AND PAIN SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2008
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11123 MONTGOMERY RD SUITE 202
CINCINNATI OH
45249-2389
US
IV. Provider business mailing address
11123 MONTGOMERY RD SUITE 202
CINCINNATI OH
45249-2389
US
V. Phone/Fax
- Phone: 513-891-3600
- Fax: 513-891-3601
- Phone: 513-891-3600
- Fax: 513-891-3601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 35087875 |
| License Number State | OH |
VIII. Authorized Official
Name:
AHSAN
USMANI
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 513-891-3600