Provider Demographics
NPI:1417049958
Name:PAIN MANAGEMENT OF NOHIO INC
Entity Type:Organization
Organization Name:PAIN MANAGEMENT OF NOHIO INC
Other - Org Name:REHAB PHYSICIANS OF CLEVELAND INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:J
Authorized Official - Last Name:AKNTAR ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-542-0226
Mailing Address - Street 1:34055 SOLON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139
Mailing Address - Country:US
Mailing Address - Phone:440-542-0226
Mailing Address - Fax:440-542-9957
Practice Address - Street 1:34055 SOLON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139
Practice Address - Country:US
Practice Address - Phone:440-542-0226
Practice Address - Fax:440-542-9957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0160598Medicaid
OHRE9288132Medicare ID - Type Unspecified
OH0160598Medicaid