Provider Demographics
NPI:1528003787
Name:AMIN, DAVID JOSEF (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEF
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 CHILDRENS PL
Mailing Address - Street 2:MSC 8208-16-01
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-2341
Mailing Address - Fax:314-454-4345
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV PED EMERGENCY MED
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-2341
Practice Address - Fax:314-454-4345
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2024-02-27
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Provider Licenses
StateLicense IDTaxonomies
MO2012035048208000000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A697540Medicaid
CA00A697540Medicaid
CAWA69754EMedicare PIN