Provider Demographics
NPI:1093707846
Name:MINHAS, JAMSHAID A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMSHAID
Middle Name:A
Last Name:MINHAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 11719
Mailing Address - Street 2:MOHAWK VALLEY NEUROLOGY
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-0719
Mailing Address - Country:US
Mailing Address - Phone:518-428-5119
Mailing Address - Fax:
Practice Address - Street 1:4988 STATE HIGHWAY 30
Practice Address - Street 2:AMSTERDAM MEMORIAL SUITE 201
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-7520
Practice Address - Country:US
Practice Address - Phone:518-428-5119
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2224972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H90278Medicare UPIN