Provider Demographics
NPI:1972705960
Name:ADHIKARI, SUDHIR (MD)
Entity type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:
Last Name:ADHIKARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8251 PINE RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2191
Mailing Address - Country:US
Mailing Address - Phone:513-841-0222
Mailing Address - Fax:513-841-0638
Practice Address - Street 1:8251 PINE RD
Practice Address - Street 2:SUITE 212
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2191
Practice Address - Country:US
Practice Address - Phone:513-841-0222
Practice Address - Fax:513-841-0638
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125050554207R00000X
OH35-092880207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2932545Medicaid
OH2932545Medicaid