Individual
RUTVIC MARKANDBHAI AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3697
(585) 922-5914
Mailing address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
234050
NY
207Q00000X
Family Medicine Physician
ME93393
FL
207R00000X
Internal Medicine Physician
234050
NY
208M00000X
Hospitalist Physician
Primary
234050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03026157
—
NY
Enumeration date
05/03/2006
Last updated
04/19/2021
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