Provider Demographics
NPI:1437743390
Name:AMUNTS, SERGEI (MD)
Entity Type:Individual
Prefix:DR
First Name:SERGEI
Middle Name:
Last Name:AMUNTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24016 EDGEHILL DR
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1228
Mailing Address - Country:US
Mailing Address - Phone:216-939-5370
Mailing Address - Fax:
Practice Address - Street 1:24016 EDGEHILL DR
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1228
Practice Address - Country:US
Practice Address - Phone:216-939-5370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program