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Individual

CHINTAN J AMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11725 ILLINOIS ST STE 325, CARMEL, IN 46032-3002
(317) 688-5800
(317) 688-5805
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059339
IN
207R00000X
Internal Medicine Physician
Primary
01059339A
IN
207R00000X
Internal Medicine Physician
0361188481
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000678560
ANTHEM PTAN
IN
01
000000705902
ANTHEM PTAN
IN
05
036118481
IL
05
200506870
IN
Enumeration date
03/22/2006
Last updated
05/08/2025
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