Healthcare Provider Details

I. General information

NPI: 1659752582
Provider Name (Legal Business Name): CHRISTOPHER BHUPENDRA MAHIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MERCY HEALTH BLVD STE 125
CINCINNATI OH
45211-1106
US

IV. Provider business mailing address

3301 MERCY HEALTH BLVD STE 125
CINCINNATI OH
45211-1106
US

V. Phone/Fax

Practice location:
  • Phone: 513-215-9200
  • Fax: 513-215-9259
Mailing address:
  • Phone: 513-215-9200
  • Fax: 513-215-9259

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 Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35142939
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: