Provider Demographics
NPI:1245294750
Name:AMIN, JYOTI (MD)
Entity type:Individual
Prefix:DR
First Name:JYOTI
Middle Name:
Last Name:AMIN
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:1408 MAYHURST BLVD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2235
Mailing Address - Country:US
Mailing Address - Phone:703-893-1420
Mailing Address - Fax:
Practice Address - Street 1:1001 SAM PERRY BLVD
Practice Address - Street 2:NEONATOLOGY OFFICE
Practice Address - City:FREDERICKSBRG
Practice Address - State:VA
Practice Address - Zip Code:22401-4453
Practice Address - Country:US
Practice Address - Phone:540-741-4745
Practice Address - Fax:540-741-4742
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010303992080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine