Healthcare Provider Details

I. General information

NPI: 1629209820
Provider Name (Legal Business Name): CINCINNATI PAIN MANAGEMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5240 E GALBRAITH RD
CINCINNATI OH
45236-2822
US

IV. Provider business mailing address

5240 E GALBRAITH RD
CINCINNATI OH
45236-2822
US

V. Phone/Fax

Practice location:
  • Phone: 513-312-5670
  • Fax:
Mailing address:
  • Phone: 513-312-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number35.081160
License Number StateOH

VIII. Authorized Official

Name: RAJBIR S. MINHAS
Title or Position: PRESIDENT
Credential: MD
Phone: 513-312-5670