Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 036.134352 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 52850 | AZ |
N | 207XS0106X | Orthopaedic Hand Surgeon | P6324 | TX |
NPI | 1013170232 |
---|---|
Provider Name | Tanay J Amin |
First Address | Phoenix, AZ 85050 |
Second Address | Peoria, AZ 85381-4258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 10/09/2021 |