Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 35.139465 | OH |
NPI | 1417311200 |
---|---|
Provider Name | Dr. Harithsa Srinath Asuri |
First Address | Cincinnati, OH 45202-1459 |
Second Address | Ashtabula, OH 44004-4459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 16/07/2020 |