MEDICARE: DEVENDRA N 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME0057186	FL
2	207RP1001X	Pulmonary Disease Physician	ME0057186	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01027107	OTHER	FL	RR ,MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1508847070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVENDRA N AMIN M.D.

Provider Business Mailing Address
First Line	:	2410 NORTHSIDE DR
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2236
Country	:	US
Telephone Number	:	727-499-0356
Fax Number	:	727-781-3312

Provider Business Practice Location Address
First Line	:	2305 KENT PL
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33764-7526
Country	:	US
Telephone Number	:	727-286-2411
Fax Number	:	727-781-3312

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	07/21/2022

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Directions to “ DEVENDRA N AMIN M.D.” Practice Location

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