Individual
KAUSHIK AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 FLAT SHOALS RD SE, CONYERS, GA 30013-1809
(770) 922-1778
(770) 761-4490
Mailing address
2035 FLAT SHOALS RD SE, CONYERS, GA 30013-1809
(770) 922-1778
(770) 761-4490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00573196A
—
GA
Enumeration date
01/13/2006
Last updated
08/19/2009
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