Provider Demographics
NPI:1326213364
Name:SOUTHWEST OHIO PAIN INSTITUTE, INC
Entity Type:Organization
Organization Name:SOUTHWEST OHIO PAIN INSTITUTE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUNIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-967-0566
Mailing Address - Street 1:6576 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5924
Mailing Address - Country:US
Mailing Address - Phone:513-967-0566
Mailing Address - Fax:
Practice Address - Street 1:7760 W VOICE OF AMERICA PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3371
Practice Address - Country:US
Practice Address - Phone:513-860-0371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6243790001OtherDMERC
OHDP2235OtherRAILROAD MEDICARE
OH2852239Medicaid
OHDP2235OtherRAILROAD MEDICARE
OH9376001Medicare PIN