Healthcare Provider Details

I. General information

NPI: 1053600114
Provider Name (Legal Business Name): ANESTHESIA AND PAIN MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 COMMONS BLVD STE 130
BEAVERCREEK OH
45431-3840
US

IV. Provider business mailing address

PO BOX 340453
BEAVERCREEK OH
45434-0453
US

V. Phone/Fax

Practice location:
  • Phone: 937-280-4970
  • Fax: 937-630-4578
Mailing address:
  • Phone: 937-280-4970
  • Fax: 937-630-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number35085482
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number35085482
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ABDUL SHAHID
Title or Position: OWNER / PHYSICIAN
Credential: M.D.
Phone: 937-344-7569