Healthcare Provider Details

I. General information

NPI: 1649914342
Provider Name (Legal Business Name): AMRIT LAMA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 EAST MARKET STREET
WAR OH
44483
US

IV. Provider business mailing address

1350 EAST MARKET STREET, 7TH FLOOR
WAR OH
44483
US

V. Phone/Fax

Practice location:
  • Phone: 330-841-9647
  • Fax: 330-841-9645
Mailing address:
  • Phone: 330-675-5714
  • Fax: 330-675-5711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: