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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689609638 | NPPES |
| Pennsylvania | MEDICAID | 00180634 |
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