Provider Demographics
NPI:1811943087
Name:AMIN, HIRAL (MD)
Entity type:Individual
Prefix:
First Name:HIRAL
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:67 PROSPECT AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2907
Mailing Address - Country:US
Mailing Address - Phone:518-828-2566
Mailing Address - Fax:518-697-3403
Practice Address - Street 1:67 PROSPECT AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2907
Practice Address - Country:US
Practice Address - Phone:518-828-2566
Practice Address - Fax:518-697-3403
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1-172481207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2503158OtherGHI PPO
1209565OtherUNITED HEALTHCARE
040426007321OtherFIDELIS
13531OtherGHI HMO
000406799001OtherBS OF NENY
NY01210622Medicaid
113531OtherWELLCARE
922432OtherMVP
10000037OtherCDPHP
717022OtherBC/BS
P902328OtherOXFORD
13531OtherGHI HMO
717022OtherBC/BS
GA060062683Medicare PIN
2503158OtherGHI PPO