| Shirish A. Amin M.d., P.c. | |
|
1265 Wayne Ave 119 Professional Center Suite 301 Indiana PA 15701-3501 | |
| (724) 465-6650 | |
| (724) 357-9281 |
| Full Name | Shirish A. Amin M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1265 Wayne Ave, Indiana, Pennsylvania |
| Authorized Official Name and Position | Shirish A Amin (PHYSICIAN) |
| Authorized Official Contact | 7244656650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirish A. Amin M.d., P.c. 1265 Wayne Ave 119 Professional Center Suite 301 Indiana PA 15701-3501 Ph: (724) 465-6650 | Shirish A. Amin M.d., P.c. 1265 Wayne Ave 119 Professional Center Suite 301 Indiana PA 15701-3501 Ph: (724) 465-6650 |
| NPI Number | 1720013733 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 6305811282 |
|---|---|
| Medicare Enrollment ID | O20040902000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720013733 | NPI | - | NPPES |
| 0017069000004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Shirish A Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114903994 PECOS PAC ID: 1355316233 Enrollment ID: I20040902000227 |
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