MEDICARE: DR. NEHA 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	207VG0400X	Gynecology Physician	036097775	IL
2	207V00000X	Obstetrics & Gynecology Physician	036097775	IL

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	:	1619974532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEHA N AMIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 19248
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9248
Country	:	US
Telephone Number	:	217-528-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 N 1ST ST
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62702-3749
Country	:	US
Telephone Number	:	217-280-6940
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/07/2026

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