Individual
MANSI D AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0940
(602) 933-2424
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85016-7710
16029331813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10034269
TX
208000000X
Pediatrics Physician
P2091
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
2020-03222
NC
2080T0004X
Pediatric Transplant Hepatology Physician
54738
AZ
Other
Enumeration date
04/24/2011
Last updated
05/20/2021
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