Provider Demographics
NPI:1023014511
Name:AMIN, HASMUKH C (MD)
Entity Type:Individual
Prefix:MR
First Name:HASMUKH
Middle Name:C
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9508 STOCKDALE HWY
Mailing Address - Street 2:STE 150
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3623
Mailing Address - Country:US
Mailing Address - Phone:661-663-7500
Mailing Address - Fax:661-663-3063
Practice Address - Street 1:9508 STOCKDALE HWY
Practice Address - Street 2:STE 150
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3623
Practice Address - Country:US
Practice Address - Phone:661-663-7500
Practice Address - Fax:661-663-3063
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA31121208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A311210Medicaid
CA00A311210Medicaid