Individual
DR. ANUP GORDBANBHAI AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2587
(979) 774-0012
(979) 774-4636
Mailing address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2587
(979) 774-0012
(979) 774-4636
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G0650
TX
207RP1001X
Pulmonary Disease Physician
Primary
G0650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115939402
—
TX
01
—
260001305
RAILROAD MEDICARE
TX
Enumeration date
08/03/2006
Last updated
02/13/2012
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