Healthcare Provider Details

I. General information

NPI: 1316981616
Provider Name (Legal Business Name): CINCINNATI CENTERS FOR PAIN RELIEF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 HAMILTON MASON RD STUITE 201
HAMILTON OH
45011-8557
US

IV. Provider business mailing address

PO BOX 127
CINCINNATI OH
45012-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-2277
  • Fax: 513-454-2288
Mailing address:
  • Phone: 513-454-2277
  • Fax: 513-454-2288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number35-062727
License Number StateOH

VIII. Authorized Official

Name: NILESH B JOBALIA
Title or Position: PRESIDENT
Credential: MD
Phone: 513-454-2277