Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A993348 | CA |
N | 2080P0210X | Pediatric Nephrologist | A93348 | CA |
NPI | 1811149834 |
---|---|
Provider Name | Dr. Nimisha Amin |
First Address | Bakersfield, CA 93306-7808 |
Second Address | Bakersfield, CA 93311-3652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 30/09/2016 |