Healthcare Provider Details

I. General information

NPI: 1407938822
Provider Name (Legal Business Name): COMPREHENSIVE HEADACHE AND PAIN SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10945 REED HARTMAN HIGHWAY SUITE # 219 217
CINCINNATI OH
45242
US

IV. Provider business mailing address

4211 LIGHTHOUSE LANE
WEST CHESTER OH
45069
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-3600
  • Fax: 513-891-3601
Mailing address:
  • Phone: 917-282-3668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number87875
License Number StateOH

VIII. Authorized Official

Name: JAVARIA AHSAN USMANI
Title or Position: OFFICE MANAGER
Credential:
Phone: 718-619-7461