Provider Demographics
NPI:1225024995
Name:AMIN, RUPAL V (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPAL
Middle Name:V
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RUPAL
Other - Middle Name:V
Other - Last Name:DINESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1215 DUFF AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-5400
Mailing Address - Country:US
Mailing Address - Phone:515-239-4431
Mailing Address - Fax:515-239-4742
Practice Address - Street 1:1215 DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-5400
Practice Address - Country:US
Practice Address - Phone:515-239-4431
Practice Address - Fax:515-239-4742
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA31804207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAG85627Medicare UPIN
IA3181339Medicare ID - Type Unspecified
IA14522Medicare ID - Type Unspecified