Provider Demographics
NPI:1598293763
Name:AMIN, MEDHAVI HARSHH (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEDHAVI
Middle Name:HARSHH
Last Name:AMIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 TRENTON RD APT 309
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5669
Mailing Address - Country:US
Mailing Address - Phone:551-226-1675
Mailing Address - Fax:
Practice Address - Street 1:603 VETERANS HWY
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-2504
Practice Address - Country:US
Practice Address - Phone:215-788-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0412751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice