Individual
SHIRISH A AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 WAYNE AVE, 119 PROFESSIONAL CENTER, SUITE 301, INDIANA, PA 15701-3501
(724) 465-6650
(724) 357-9281
Mailing address
1265 WAYNE AVE, 119 PROFESSIONAL CENTER, SUITE 301, INDIANA, PA 15701-3501
(724) 465-6650
(724) 357-9281
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD050640L
PA
207RI0008X
Hepatology Physician
MD050640L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019110080002
—
PA
Enumeration date
12/22/2005
Last updated
11/12/2015
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