MEDICARE: DR. RUCHITA D 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
1	207W00000X	Ophthalmology Physician	01074794A	IN
2	207W00000X	Ophthalmology Physician	036129594	IL

General Provider Information

NPI Number	:	1235367467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUCHITA D AMIN M.D.

Provider Business Mailing Address
First Line	:	8679 CONNECTICUT ST STE A
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-6383
Country	:	US
Telephone Number	:	219-769-9022
Fax Number	:	219-649-2995

Provider Business Practice Location Address
First Line	:	931 RIDGE RD STE H
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-1756
Country	:	US
Telephone Number	:	219-836-4110
Fax Number	:	219-836-2709

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

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	09/19/2025

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