Dasari, Grace

Dasari, Grace is an individual health care provider with primary practice located at 801 Medical Dr Suite A, Lima OH 45804-4099. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Dasari, Grace can be contacted via phone (419) 222-6622.

Contact Information

Primary practice address
801 Medical Dr Suite A Lima OH 45804-4099
Phone: (419) 222-6622
Fax: (419) 224-0015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35084273-D Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 35084273-D Ohio

Profile Details

NPI number 1417937996
LBN Legal business name Dasari, Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417937996 NPPES
Ohio MEDICAID 2487812
Ohio Other 000000337172

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