Provider Demographics
NPI:1760723035
Name:AMIN, CHIRAG (DO)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10120 S EASTERN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3952
Mailing Address - Country:US
Mailing Address - Phone:702-476-0734
Mailing Address - Fax:
Practice Address - Street 1:10120 S EASTERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3952
Practice Address - Country:US
Practice Address - Phone:702-476-0734
Practice Address - Fax:714-647-1245
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO2875207L00000X
CA20A15532207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology