Healthcare Provider Details

I. General information

NPI: 1891025318
Provider Name (Legal Business Name): ROHUL AMIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2010
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 88
DAYTON MD
21036-0088
US

IV. Provider business mailing address

PO BOX 88
DAYTON MD
21036-0088
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-9195
  • Fax: 314-677-1823
Mailing address:
  • Phone: 410-205-9195
  • Fax: 314-677-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0086502
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101247960
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: