Provider Demographics
NPI:1851325534
Name:AMIN, MOHAMMAD ZAHEER (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:ZAHEER
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MAPLE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-1944
Mailing Address - Country:US
Mailing Address - Phone:573-701-0470
Mailing Address - Fax:573-701-0473
Practice Address - Street 1:703 MAPLE VALLEY DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-1944
Practice Address - Country:US
Practice Address - Phone:573-701-0470
Practice Address - Fax:573-701-0473
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002027882207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology