MEDICARE: NEHA AMIN D.O.

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	208600000X	Surgery Physician	83421	SC
2	2086S0102X	Surgical Critical Care Physician	OS17773	FL
3	2086S0102X	Surgical Critical Care Physician	79929	GA
4	2086S0102X	Surgical Critical Care Physician	83421	SC
5	2086S0102X	Surgical Critical Care Physician	34C.000196	OH
6	208600000X	Surgery Physician	79929	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	:	1699107698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA AMIN D.O.

Provider Business Mailing Address
First Line	:	770 SUMMIT TER
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-4146
Country	:	US
Telephone Number	:	908-770-6832
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 OAKSIDE CT STE 202
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30114-2498
Country	:	US
Telephone Number	:	908-770-6832
Fax Number	:

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

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	01/24/2025

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1992589691 — ELDINE GARRAUD FNP
Practice Location Address:

125 OAKSIDE CT STE 201
CANTON, GA
30114-2498

Practice Phone: 844-893-0012
Practice Fax:

1356337448 — DR. WILLIAM PARKER MARKS JR. M.D.
Practice Location Address:

125 OAKSIDE CT , SUITE 102
CANTON, GA
30114-2498

Practice Phone: 678-880-0662
Practice Fax: 678-880-0675

1285601880 — BERETTA CRAFT-COFFMAN P.A.-C
Practice Location Address:

125 OAKSIDE CT STE 102
CANTON, GA
30114-2498

Practice Phone: 770-213-8376
Practice Fax:

1932322302 — ETOWAH EYE CLINIC, P.C.
Practice Location Address:

125 OAKSIDE CT , SUITE 102
CANTON, GA
30114-2498

Practice Phone: 678-880-0662
Practice Fax: 678-880-0675

1427637552 — CAROLINE REBECCA BURROWS PAC
Practice Location Address:

125 OAKSIDE CT STE 201
CANTON, GA
30114-2498

Practice Phone: 844-893-0012
Practice Fax:

Directions to “ NEHA AMIN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.