Healthcare Provider Details

I. General information

NPI: 1780884635
Provider Name (Legal Business Name): ALTAMASH A AMIN MD PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N FRANKLIN ST
FRANKENMUTH MI
48734-1000
US

IV. Provider business mailing address

2233 N CENTER RD
SAGINAW MI
48603-3730
US

V. Phone/Fax

Practice location:
  • Phone: 989-652-9410
  • Fax: 989-652-9132
Mailing address:
  • Phone: 989-793-4420
  • Fax: 989-793-8577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301062214
License Number StateMI

VIII. Authorized Official

Name: ALTAMASH A AMIN
Title or Position: OWNER
Credential: MD
Phone: 989-793-4420