Individual
JITENDRA M AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 N SPENCER ST, RUSHVILLE, IN 46173
(765) 932-5996
(765) 932-4996
Mailing address
PO BOX 245, 725 N SPENCER ST, RUSHVILLE, IN 46173
(765) 932-5996
(765) 932-4996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01030547A
IN
207R00000X
Internal Medicine Physician
Primary
01030547A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216000A
—
IN
Enumeration date
11/02/2005
Last updated
07/13/2010
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