Tamirisa, Kiran C

Tamirisa, Kiran C is an individual health care provider with primary practice located at 2600 Navarre Ave , Oregon OH 43616-3207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Tamirisa, Kiran C can be contacted via phone (419) 696-7646.

Contact Information

Primary practice address
2600 Navarre Ave Oregon OH 43616-3207
Phone: (419) 696-7646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35045601 Ohio
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35045601 Ohio

Profile Details

NPI number 1851332829
LBN Legal business name Tamirisa, Kiran C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 11th, 2013 - about 13 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 1851332829 NPPES
Ohio Other 000000185388 BCBS
Ohio MEDICAID 0440866 BCBS
Ohio MEDICAID 4272949-10 BCBS

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