MEDICARE: DR. SHILPA H AMIN M.D,MBSC,FAAFP

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	207Q00000X	Family Medicine Physician	C128160	CA
2	207Q00000X	Family Medicine Physician	0101058605	VA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790888162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHILPA H AMIN M.D,MBSC,FAAFP

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	804-968-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	BELMONT COUNTRY CLUB, VILLAGE OF BALTRUSOL
Second Line	:	19756 ESTANCIA TERRACE
City	:	ASHBURN
State	:	VA
Zip	:	20147
Country	:	US
Telephone Number	:	571-223-2545
Fax Number	:

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	03/25/2026

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