Organization
SHIRISH A. AMIN M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRISH A AMIN M.D. (PHYSICIAN)
(724) 465-6650
Entity
Organization
Contact information
Practice address
1265 WAYNE AVE, 119 PROFESSIONAL CENTER SUITE 301, INDIANA, PA 15701-3501
(724) 465-6650
(724) 357-9281
Mailing address
1265 WAYNE AVE, 119 PROFESSIONAL CENTER SUITE 301, INDIANA, PA 15701-3501
(724) 465-6650
(724) 357-9281
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017069000004
—
PA
Enumeration date
07/11/2006
Last updated
10/30/2019
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