Individual
PRASHANT AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-01026
NC
207R00000X
Internal Medicine Physician
71953
GA
207RN0300X
Nephrology Physician
Primary
71953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147307A
—
GA
Enumeration date
03/22/2009
Last updated
03/10/2015
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