MEDICARE: RSI CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number	:	1083391569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RSI CONSULTING

Provider Business Mailing Address
First Line	:	3705 HUDSON HILLS LN
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-2780
Country	:	US
Telephone Number	:	858-382-2641
Fax Number	:

Provider Business Practice Location Address
First Line	:	4404 GLEN ESTE WITHAMSVILLE RD STE F
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1306
Country	:	US
Telephone Number	:	858-382-2641
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. FARBOD RASTEGAR
Credential	:	MD
Telephone Number	:	858-382-2641

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	06/28/2023

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