Organization
EAST RIVER MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYANK S AMIN MD (OWNER)
(304) 324-2715
Entity
Organization
Contact information
Practice address
512 CHERRY ST, BUILDING I, BLUEFIELD, WV 24701-3341
(304) 324-2715
(304) 324-2774
Mailing address
PO BOX 213, BLUEFIELD, WV 24701-0213
(304) 324-2715
(304) 324-2774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20921
WV
207R00000X
Internal Medicine Physician
19428
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
20602
WV
363LF0000X
Family Nurse Practitioner
Primary
36628
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001682
—
WV
Enumeration date
09/20/2006
Last updated
09/11/2025
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