Provider Demographics
NPI:1316135585
Name:SOIN, AMOL (MD)
Entity type:Individual
Prefix:
First Name:AMOL
Middle Name:
Last Name:SOIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7076 CORPORATE WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4281
Mailing Address - Country:US
Mailing Address - Phone:937-434-2226
Mailing Address - Fax:937-434-2283
Practice Address - Street 1:7076 CORPORATE WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4281
Practice Address - Country:US
Practice Address - Phone:937-434-2226
Practice Address - Fax:937-434-2283
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35090518208VP0014X, 208VP0000X
OH35.090518207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine