MEDICARE: DR. JAMSHAID A MINHAS MD

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	2084N0400X	Neurology Physician	222497	NY

General Provider Information

NPI Number	:	1093707846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMSHAID A MINHAS MD

Provider Business Mailing Address
First Line	:	PO BOX 11719
Second Line	:	MOHAWK VALLEY NEUROLOGY
City	:	ALBANY
State	:	NY
Zip	:	12211-0719
Country	:	US
Telephone Number	:	518-428-5119
Fax Number	:

Provider Business Practice Location Address
First Line	:	4988 STATE HIGHWAY 30
Second Line	:	AMSTERDAM MEMORIAL SUITE 201
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-7520
Country	:	US
Telephone Number	:	518-428-5119
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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