Provider Demographics
NPI:1629162508
Name:AMATYA, ARUN K (MD)
Entity Type:Individual
Prefix:MR
First Name:ARUN
Middle Name:K
Last Name:AMATYA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11301 OKEECHOBEE BLVD.
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8719
Mailing Address - Country:US
Mailing Address - Phone:561-283-0384
Mailing Address - Fax:561-282-3238
Practice Address - Street 1:11301 OKEECHOBEE BLVD.
Practice Address - Street 2:SUITE 5A
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8719
Practice Address - Country:US
Practice Address - Phone:561-283-0384
Practice Address - Fax:561-282-3238
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME78445207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258648700Medicaid
FL49428VMedicare PIN
FL49428TMedicare PIN
FLH07012Medicare UPIN
FL258648700Medicaid