MEDICARE: KAUSHIK 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
1	207R00000X	Internal Medicine Physician	037465	GA

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	:	1518946920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAUSHIK AMIN MD

Provider Business Mailing Address
First Line	:	2035 FLAT SHOALS RD SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1809
Country	:	US
Telephone Number	:	770-922-1778
Fax Number	:	770-761-4490

Provider Business Practice Location Address
First Line	:	2035 FLAT SHOALS RD SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1809
Country	:	US
Telephone Number	:	770-922-1778
Fax Number	:	770-761-4490

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

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	08/19/2009

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Directions to “ KAUSHIK AMIN MD” Practice Location

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