Provider Demographics
NPI:1043548753
Name:COMPREHENSIVE HOSPITAL MEDICINE ASSOCIATES, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE HOSPITAL MEDICINE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSHEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-382-5667
Mailing Address - Street 1:6136 BRIDGEWATER CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5929
Mailing Address - Country:US
Mailing Address - Phone:513-382-5667
Mailing Address - Fax:
Practice Address - Street 1:1010 CEREAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2784
Practice Address - Country:US
Practice Address - Phone:513-867-3166
Practice Address - Fax:513-867-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077077208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH19693Medicare UPIN