Provider Demographics
NPI:1467196162
Name:AMIN FOOT & ANKLE CORP
Entity Type:Organization
Organization Name:AMIN FOOT & ANKLE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KUNAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-931-5681
Mailing Address - Street 1:16700 HOUSE HAHL RD
Mailing Address - Street 2:BLDG 8-B
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1902
Mailing Address - Country:US
Mailing Address - Phone:281-377-4040
Mailing Address - Fax:
Practice Address - Street 1:16700 HOUSE HAHL RD
Practice Address - Street 2:BLDG 8-B
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1902
Practice Address - Country:US
Practice Address - Phone:281-377-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty