Provider Demographics
NPI:1093934374
Name:AMIN, CHIRAG NARAYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:NARAYAN
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1485 SPRUCE ST STE Q
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-7421
Mailing Address - Country:US
Mailing Address - Phone:909-208-5655
Mailing Address - Fax:951-221-4441
Practice Address - Street 1:1485 SPRUCE ST
Practice Address - Street 2:SUITE Q
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2445
Practice Address - Country:US
Practice Address - Phone:951-680-0066
Practice Address - Fax:951-221-4441
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72688207X00000X, 207N00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice