Amini, Javid Rohullah

Amini, Javid Rohullah is an individual health care provider with primary practice located at 610 Wyoming Ave Suite 1, Kingston PA 18704-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Amini, Javid Rohullah can be contacted via phone (570) 288-5441.

Contact Information

Primary practice address
610 Wyoming Ave Suite 1 Kingston PA 18704-3702
Phone: (570) 288-5441
Fax: (570) 288-9613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD071384L Pennsylvania

Profile Details

NPI number 1689609638
LBN Legal business name Amini, Javid Rohullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689609638 NPPES
Pennsylvania MEDICAID 00180634

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