# AMINE P AMINE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376296434
- **Authorized official:** MRS. DIANA EL MASRI (BILLING MANAGER)
- **Authorized official phone:** (248) 215-0048

## Contact information

- **Practice address:** 22631 GREATER MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-2055
- **Practice address phone:** (586) 800-0086
- **Practice address fax:** (586) 800-0087
- **Mailing address:** PO BOX 67, ROYAL OAK, MI 48068-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2022
- **Last updated:** 04/10/2023