Healthcare Provider Details

I. General information

NPI: 1588468912
Provider Name (Legal Business Name): ROBERT KUROSH REZVANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7760 W VOA PARK DR SUITE B
WEST CHESTER OH
45069
US

IV. Provider business mailing address

7760 W VOA PARK DR SUITE B
WEST CHESTER OH
45069
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-5135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: