Provider Demographics
NPI:1245439066
Name:AMIN, TIRU CHINTAN (MD)
Entity type:Individual
Prefix:
First Name:TIRU
Middle Name:CHINTAN
Last Name:AMIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:TIRU
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:317-880-6050
Mailing Address - Fax:
Practice Address - Street 1:4880 CENTURY PLAZA RD STE 265
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5471
Practice Address - Country:US
Practice Address - Phone:317-880-6050
Practice Address - Fax:317-880-0467
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068490B207R00000X
IN01068490A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200998300Medicaid
IN000001131881OtherANTHEM PTAN