Provider Demographics
NPI:1811149834
Name:AMIN, NIMISHA (MD)
Entity type:Individual
Prefix:DR
First Name:NIMISHA
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 AURORA WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-7808
Mailing Address - Country:US
Mailing Address - Phone:310-309-0403
Mailing Address - Fax:
Practice Address - Street 1:9802 STOCKDALE HWY
Practice Address - Street 2:STE 103
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3652
Practice Address - Country:US
Practice Address - Phone:661-663-4444
Practice Address - Fax:661-663-4100
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA933482080P0210X
CAA993348208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology