Healthcare Provider Details

I. General information

NPI: 1063587020
Provider Name (Legal Business Name): KUMAR B AMIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 JOHNSON RD STE 103
STEUBENVILLE OH
43952-2356
US

IV. Provider business mailing address

380 SUMMIT AVE MSO PHYSICIAN BILLING
STEUBENVILLE OH
43952-2667
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-2062
  • Fax: 740-283-2049
Mailing address:
  • Phone: 740-283-7807
  • Fax: 740-283-7807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35070678
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number35070678
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: