Individual
ATISH AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 774-8277
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
EC231087
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2022
Last updated
06/29/2023
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