1134136526 NPI number — DR. MUHAMMAD A MUNIR MD

Table of content: DR. MUHAMMAD A MUNIR MD (NPI 1134136526)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134136526 NPI number — DR. MUHAMMAD A MUNIR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUNIR
Provider First Name:
MUHAMMAD
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134136526
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7029 BEECH HOLLOW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45236-1470
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-860-0371
Provider Business Mailing Address Fax Number:
513-860-1710

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7760 W VOICE OF AMERICA PARK DR
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
WEST CHESTER
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45069-3371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-860-0371
Provider Business Practice Location Address Fax Number:
513-860-1710
Provider Enumeration Date:
08/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RS0012X , with the licence number:  35-086980 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X , with the licence number: 35-086980 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207LH0002X , with the licence number: 35-086980 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X , with the licence number: 35-086980 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207LP2900X , with the licence number: 35-086980 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2607683 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200802540 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6243790001 . This is a "DMERC" identifier . This identifiers is of the category "OTHER".