Provider Demographics
NPI:1134175409
Name:MINHAS, RAJBIR S (MD)
Entity type:Individual
Prefix:DR
First Name:RAJBIR
Middle Name:S
Last Name:MINHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4760 RED BANK RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1549
Mailing Address - Country:US
Mailing Address - Phone:513-271-4488
Mailing Address - Fax:513-271-4737
Practice Address - Street 1:4760 RED BANK RD STE 104
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1549
Practice Address - Country:US
Practice Address - Phone:513-271-4488
Practice Address - Fax:513-271-4737
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35081160208VP0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2333022Medicaid
OH4086173Medicare PIN
OH2333022Medicaid