Individual
DR. NIMA AMJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 BENNEY LN STE 100, DRIPPING SPRINGS, TX 78620-5566
(512) 504-7411
(512) 215-8824
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L8596
TX
207RI0011X
Interventional Cardiology Physician
L8596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167376602
—
TX
05
—
167376603
—
TX
05
—
167376604
—
TX
05
—
167376605
—
TX
01
—
8BX087
BCBSTX
TX
01
—
P00334347
MEDICARE RAILROAD
TX
01
—
P00704409
RAILROAD MEDICARE
TX
Enumeration date
05/27/2006
Last updated
09/26/2025
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