Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME62113 | FL |
NPI | 1013985043 |
---|---|
Provider Name | Dr. Mahesh Amin |
First Address | Clearwater, FL 33757-8744 |
Second Address | Clearwater, FL 33756-3367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 02/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
373981300 | (05) | FL |