MEDICARE: MR. ALTAMASH A AMIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301062214	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578558680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALTAMASH A AMIN MD

Provider Business Mailing Address
First Line	:	2233 N CENTER RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-3730
Country	:	US
Telephone Number	:	989-799-8420
Fax Number	:	989-624-1506

Provider Business Practice Location Address
First Line	:	506 N FRANKLIN ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1000
Country	:	US
Telephone Number	:	989-652-9410
Fax Number	:	989-793-8577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	09/18/2025

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