Healthcare Provider Details

I. General information

NPI: 1508228552
Provider Name (Legal Business Name): ABHINAV TANDON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 07/09/2020
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST UNIVERSITY OF CINCINNATI MEDICAL CENTER
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

231 ALBERT SABIN WAY DEPT OF ANESTHESIOLOGY
CINCINNATI OH
45267-0531
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35139594
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: