Individual
GAYATRI R. AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8750 W 9 MILE RD, OAK PARK, MI 48237-2322
(248) 590-8000
Mailing address
1979 SHEFFIELD RD, BIRMINGHAM, MI 48009
(817) 707-9225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00237500
NJ
363A00000X
Physician Assistant
PA03090
TX
Other
Enumeration date
07/28/2005
Last updated
11/19/2011
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