Individual
MAYANK S AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 CHERRY ST, BUILDING I, BLUEFIELD, WV 24701-3341
(304) 324-2715
(304) 324-2774
Mailing address
PO BOX 213, BLUEFIELD, WV 24701-0213
(304) 324-2715
(304) 324-2774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19428
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082212000
—
WV
Enumeration date
04/11/2006
Last updated
03/08/2011
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