Individual provider · NPI-1

Mansi D Amin, M.D.

Pediatrics, Pediatric Gastroenterology · Phoenix, AZ

NPI number1427349554
StatusActive
Last updated in NPPESMay 20, 2021

Details

NPI
1427349554
Entity type
Individual (NPI-1)
Name
Mansi D Amin
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2011
Certification date
May 20, 2021
Last updated
May 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0206X Pediatrics, Pediatric Gastroenterology2020-03222NCYes
208000000X PediatricsBP10034269TX
208000000X PediatricsP2091TX
2080T0004X Pediatrics, Pediatric Transplant Hepatology54738AZ

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone 602-933-0940 · Fax 602-933-2424

Mailing address

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85016-7710

Phone 16029331813

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