Provider Demographics
NPI:1912361643
Name:SOLTANI, AMIN K (MD)
Entity Type:Individual
Prefix:
First Name:AMIN
Middle Name:K
Last Name:SOLTANI
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 1:105 ERDMAN WAY
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1852
Mailing Address - Country:US
Mailing Address - Phone:978-537-7552
Mailing Address - Fax:978-537-7383
Practice Address - Street 1:105 ERDMAN WAY
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1852
Practice Address - Country:US
Practice Address - Phone:978-537-7552
Practice Address - Fax:978-537-7383
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA282975207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology