Basic Information
| Provider Information | |||||||||
| NPI: | 1285052738 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EDWARD | ||||||||
| FirstName: | NEERAJ | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 231 ALBERT SABIN WAY | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452670531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135586356 | ||||||||
| FaxNumber: | 5135580995 | ||||||||
| Practice Location | |||||||||
| Address1: | 7759 UNIVERSITY DRIVE | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450696578 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134758282 | ||||||||
| FaxNumber: | 5134581986 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2014 | ||||||||
| LastUpdateDate: | 08/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 57.024575 | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0000X | 35132985 | OH | N | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 207L00000X | 35132985 | OH | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.