Provider Demographics
NPI:1508900739
Name:AMIN, ASHWIN V (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHWIN
Middle Name:V
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2455 BALYEAT DR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-4094
Mailing Address - Country:US
Mailing Address - Phone:419-999-5516
Mailing Address - Fax:419-999-5516
Practice Address - Street 1:2455 BALYEAT DR
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-4094
Practice Address - Country:US
Practice Address - Phone:419-999-5516
Practice Address - Fax:419-999-5516
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH42360207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine