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NPI Code Detail

MEDICARE: CHEERAG AMIN

MEDICARE: CHEERAG AMIN
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
11223G0001XGeneral Practice Dentistry10753CA
21223G0001XGeneral Practice Dentistry103753CA

General Provider Information

NPI Number : 1194252627
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEERAG AMIN
Provider Business Mailing Address
First Line : 57 BAY ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-2832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3150 CASE RD BLDG C
Second Line :
City : PERRIS
State : CA
Zip : 92570-5552
Country : US
Telephone Number : 951-345-4386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2017
Last Update Date : 11/12/2019

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Directions to “ CHEERAG AMIN ” Practice Location

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