Healthcare Provider Details

I. General information

NPI: 1952308108
Provider Name (Legal Business Name): AMIT KUMAR TREHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 08/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6833 PLUM CREEK DR
AMARILLO TX
79124-1602
US

IV. Provider business mailing address

PO BOX 9468
BELFAST ME
04915-9468
US

V. Phone/Fax

Practice location:
  • Phone: 806-467-9820
  • Fax: 806-468-8340
Mailing address:
  • Phone: 806-467-9820
  • Fax: 806-468-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberK1105
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: