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General NPI Number Information
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NPI Number | 1235716929
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Entity Type | Individual
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Provider Name | SAMTA AMIN MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2021
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 800 MCCONNELL DRIVE
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City | COLUMBUS
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State | OH
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Zip | 43214-3463
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Country | US
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Telephone | 614-533-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 8765 STENTON AVE
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City | WYNDMOOR
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State | PA
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Zip | 19038-8317
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Country | US
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Telephone | 215-836-2440
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Fax | 215-836-2448
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 35.151483
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | MD490424
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License Number State | PA
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