MEDICARE: AMIT MORI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	R6247	TX
2	207RG0100X	Gastroenterology Physician	35.000289	OH
3	208M00000X	Hospitalist Physician	ME172226	FL
4	207RG0100X	Gastroenterology Physician	89081	SC
5	207RG0100X	Gastroenterology Physician	036169986	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	R6247	OTHER	TX	TEXAS STATE LICENSE

General Provider Information

NPI Number	:	1053548891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT MORI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 131661
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77393-1661
Country	:	US
Telephone Number	:	281-698-7070
Fax Number	:	480-685-9922

Provider Business Practice Location Address
First Line	:	500 MEDICAL CENTER BLVD STE 235
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2800
Country	:	US
Telephone Number	:	281-698-7070
Fax Number	:	480-685-9922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	03/06/2026

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Directions to “ AMIT MORI M.D.” Practice Location

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