Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0102201560 | VA |
NPI | 1053528307 |
---|---|
Provider Name | Ahmed Amini |
First Address | Newport News, VA 23606-4430 |
Second Address | Newport News, VA 23602-4414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 18/03/2021 |