Individual
DR. MOHAMMAD BASIL AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
142 WOODRIDGE RD, BERLIN, VT 05602-9165
(802) 371-4700
Mailing address
PO BOX 2468, PALATKA, FL 32177
(386) 325-8482
(386) 325-3512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0014077
VT
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME0072588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261232100
—
FL
Enumeration date
04/20/2006
Last updated
05/28/2025
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