Individual
DR. AMIT KUMAR TREHAN
Active
Individual
DR. AMIT KUMAR TREHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K1105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00569U
MEDICARE GROUP PIN
TX
01
—
0065QV
BCBS GROUP PROV. NO.
TX
05
—
159613201
—
TX
01
—
8AJ982
BCBS PROVIDER NO.
TX
01
—
K1105
MEDICAL LICENSE NUMBER
TX
Enumeration date
07/01/2005
Last updated
08/02/2019
Update your record
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