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NPI Code Detail

MEDICARE: JAINA AMIN M.D.

MEDICARE: JAINA AMIN 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
12084P0800XPsychiatry Physician35.093971OH
22084P0800XPsychiatry Physician35.097615OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01130932OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144436650
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAINA AMIN M.D.
Provider Business Mailing Address
First Line : 3068 HUNTINGTON RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-2474
Country : US
Telephone Number : 317-698-3955
Fax Number :
Provider Business Practice Location Address
First Line : 11000 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1714
Country : US
Telephone Number : 216-844-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 10/31/2021

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