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Individual

YOGESHCHANDRA M. AMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1818 CAREW STREET, SUITE 260, FORT WAYNE, IN 46805
(260) 373-9250
(260) 373-9262
Mailing address
1818 CAREW ST, SUITE 260, FORT WAYNE, IN 46805-4788
(260) 373-9250
(260) 373-9262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027975A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000111782
ANTHEM
IN
01
00000916172 05
UNITED HEALTHCARE
05
100054040
IN
01
1027
PHYSICIANS HEALTH PLAN
IN
01
110175707
RAILROAD MEDICARE
IN
01
3937240010
MEDICARE DMEPOS
IN
01
4047039
AETNA HEALTHCARE
IN
Enumeration date
12/07/2005
Last updated
03/24/2014
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