Individual
DR. SHALIN JITENDRA AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-6503
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A104574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912141664
—
CA
01
—
P00965599
RAILROAD MEDICARE
CA
Enumeration date
04/25/2009
Last updated
12/13/2021
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