Provider Demographics
NPI:1689786907
Name:AMIN, HEMAL (MD)
Entity Type:Individual
Prefix:
First Name:HEMAL
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4106
Mailing Address - Country:US
Mailing Address - Phone:916-536-2500
Mailing Address - Fax:916-780-3904
Practice Address - Street 1:3160 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5202
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84771207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA106774OtherHEALTH NET
CA7942559OtherAETNA
CAA84771OtherBLUE CROSS
CA000810573209OtherPHCS
CA3389457OtherCIGNA
CA90142719OtherPACIFICARE
CA00A847710OtherBLUE SHIELD
CA00A847710Medicaid
CA2147710OtherUNITED
CA2158734OtherFIRST HEALTH
CA99630OtherINTERPLAN
CA1723621OtherGREAT WEST
CAMCMG285700OtherWESTERN HEALTH ADVANTAGE
CA00A847710Medicaid
CA000810573209OtherPHCS