Doctor Name: | NIRAV AMIN |
NPI Number: | 1609187897 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 11015494A |
Business Practice Address: | 4100 Everett Dr Suite 400 Kyle, TX - 786406146 |
Business Phone Number: | 5125045186 |
Business Fax Number: | 5125045536 |
Mailing Address: | Po Box 26726, AUSTIN |
State: | TX |
Postal Code: | 787550726 |
Phone Number: | 5124078686 |
Fax Number: | 5124066216 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 11015494A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |