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NPI Code Detail

MEDICARE: DR. NESSIM AMIN MD

MEDICARE:  DR. NESSIM  AMIN  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
1207T00000XNeurological Surgery Physician57.023409OH
22084N0400XNeurology Physician10973SD

General Provider Information

NPI Number : 1316369523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NESSIM AMIN MD
Provider Business Mailing Address
First Line : 1210 W 18TH ST STE 100
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4650
Country : US
Telephone Number : 605-312-8500
Fax Number : 605-312-8501
Provider Business Practice Location Address
First Line : 1210 W 18TH ST STE 100
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4650
Country : US
Telephone Number : 605-312-8500
Fax Number : 605-312-8501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2014
Last Update Date : 12/05/2018

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Directions to “ DR. NESSIM AMIN MD” Practice Location

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