Provider Demographics
NPI:1679830988
Name:AMIN, VAIBHAV (MD)
Entity Type:Individual
Prefix:
First Name:VAIBHAV
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:144 BILL CARRUTH PKWY STE 4200
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-3819
Mailing Address - Country:US
Mailing Address - Phone:678-324-4444
Mailing Address - Fax:770-528-9932
Practice Address - Street 1:144 BILL CARRUTH PKWY STE 4200
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3819
Practice Address - Country:US
Practice Address - Phone:678-324-4444
Practice Address - Fax:770-528-9932
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2023-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA079807207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease