MEDICARE: QAADIR AMIN

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1932462389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QAADIR AMIN

Provider Business Mailing Address
First Line	:	3835 MCGREGOR WAY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7697
Country	:	US
Telephone Number	:	702-574-4537
Fax Number	:

Provider Business Practice Location Address
First Line	:	3835 MCGREGOR WAY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7697
Country	:	US
Telephone Number	:	702-574-4537
Fax Number	:

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

Provider Enumeration Date	:	06/20/2012
Last Update Date	:	06/20/2012

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Directions to “ QAADIR AMIN ” Practice Location

Language	Start Address	Practice Location

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