Healthcare Provider Details

I. General information

NPI: 1497665251
Provider Name (Legal Business Name): BIKESH GURUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 COOPER RD # 1
WESTERVILLE OH
43081-8962
US

IV. Provider business mailing address

675 COOPER RD # 1
WESTERVILLE OH
43081-8962
US

V. Phone/Fax

Practice location:
  • Phone: 614-895-2225
  • Fax: 614-895-0545
Mailing address:
  • Phone: 614-895-2225
  • Fax: 614-895-0545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.027958
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: