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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417937996 | NPPES |
Ohio | MEDICAID | 2487812 | |
Ohio | Other | 000000337172 |
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