Individual
DR. DEEPAK K AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4522 KENNEDY BLVD, UNION CITY, NJ 07087-2707
(201) 863-1797
(201) 863-6117
Mailing address
4522 KENNEDY BLVD, UNION CITY, NJ 07087-2707
(201) 863-1797
(201) 863-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
189494
NY
207R00000X
Internal Medicine Physician
Primary
MA06036000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01391726
—
NY
01
—
189494
NY LICENSE
NY
01
—
4273397
ECFMG NUMBER
—
05
—
6149806
—
NJ
01
—
D06424500
NJ CDS LICENSE
NJ
01
—
MA06036000
NJ LICENSE
NJ
Enumeration date
08/09/2005
Last updated
03/07/2023
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