Healthcare Provider Details

I. General information

NPI: 1639481393
Provider Name (Legal Business Name): SUKHCHAIN SINGH SARAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CEREAL AVE STE 207
HAMILTON OH
45013
US

IV. Provider business mailing address

1010 CEREAL AVE STE 207
HAMILTON OH
45013-2772
US

V. Phone/Fax

Practice location:
  • Phone: 513-867-3331
  • Fax: 513-867-2667
Mailing address:
  • Phone: 513-867-3331
  • Fax: 513-867-2667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.135763
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: