Individual provider · NPI-1

Michael Haessam Amini, MD

Orthopaedic Surgery · Willow Grove, PA

NPI number1528292166
StatusActive
Last updated in NPPESAug 1, 2025

Details

NPI
1528292166
Entity type
Individual (NPI-1)
Name
Michael Haessam Amini
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2009
Certification date
Aug 1, 2025
Last updated
Aug 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryMD489621PAYes
207X00000X Orthopaedic Surgery123520OH
207X00000X Orthopaedic Surgery51015AZ
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic SurgeryMD489621PA

Practice location

2400 Maryland Rd Ste 20
Willow Grove, PA 19090-1732

Phone 800-321-9999 · Fax 267-479-1321

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430

Phone 609-677-7003 · Fax 267-479-1321

Other practice locations

1200 Manor Dr
Chalfont, PA 18914-2282

Phone 800-321-9999 · Fax 267-479-1321

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