Organization
AMIN'S FAMILY PRACTICE ASSOCIATES , PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN R AMIN M.D. (PRESIDENT)
(502) 637-1005
Entity
Organization
Contact information
Practice address
1505 S 7TH ST, LOUISVILLE, KY 40208-1710
(502) 637-1005
(502) 635-0046
Mailing address
1505 S 7TH ST, LOUISVILLE, KY 40208-1710
(502) 637-1005
(502) 635-0046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19340
KY
208D00000X
General Practice Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050005
PASSPORT HEALTH PLAN
KY
01
—
1050006
PASSPORT HEALTH PLAN
KY
01
—
1050007
PASSPORT HEALTH PLAN
KY
01
—
2432747001
PASSPORT ADVANTAGE
KY
01
—
2432748001
PASSPORT ADVANTAGE
KY
01
—
2432749001
PASSPORT ADVANTAGE
KY
05
—
65911745
—
KY
Enumeration date
07/15/2006
Last updated
05/02/2014
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