=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801532080
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEM NEOPANEY
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/10/2022
-----------------------------------------------------
Last Update Date | 04/04/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1740 LANGDON FARM RD
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45237-1157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-631-7100
-----------------------------------------------------
Fax | 513-417-8335
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1740 LANGDON FARM RD
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45237-1157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-317-1006
-----------------------------------------------------
Fax | 513-417-8335
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.0031677
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------