Individual
MITUAL AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 SOUTH BLVD E STE 300, ROCHESTER HILLS, MI 48307-6120
(248) 884-9710
(248) 884-9711
Mailing address
2344 TALL OAKS DR, TROY, MI 48098-2400
(248) 943-3963
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
4301067551
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301067551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220F349850
BCBSM
MI
05
—
4326306
—
MI
Enumeration date
03/14/2006
Last updated
03/31/2026
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