Healthcare Provider Details

I. General information

NPI: 1174531263
Provider Name (Legal Business Name): JANKI P. AMIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANKI S. PATEL M.D.

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 FOLSOM BLVD
SACRAMENTO CA
95816-5202
US

IV. Provider business mailing address

3160 FOLSOM BLVD
SACRAMENTO CA
95816-5202
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-3400
  • Fax: 916-733-5940
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA77083
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: