=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417928904
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMIT K NAHATA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2006
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4000 JOHNSON RD FL 4
-----------------------------------------------------
City | STEUBENVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43952-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-314-8426
-----------------------------------------------------
Fax | 740-672-5571
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 380 SUMMIT AVE
-----------------------------------------------------
City | STEUBENVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43952-2667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-283-7597
-----------------------------------------------------
Fax | 740-283-7807
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | 22505
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | MD424315
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | 35.088532
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------