Amjadi, Nima
Amjadi, Nima is an individual health care provider with primary practice located at 4310 James Casey St Bldg. 1, Suite A, Austin TX 78745-1157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Amjadi, Nima can be contacted via phone (512) 504-7411.Contact Information
Primary practice address
4310 James Casey St Bldg. 1, Suite A
Austin TX 78745-1157
Phone: (512) 504-7411
Fax: (512) 215-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L8596 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L8596 | Texas |
Profile Details
| NPI number | 1114974011 |
|---|---|
| LBN Legal business name | Amjadi, Nima |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Sep 29th, 2021 - about 3 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 | 1114974011 | NPPES |
| Texas | MEDICAID | 167376605 | |
| Texas | Other | P00704409 | |
| Texas | Other | 8BX087 | |
| Texas | MEDICAID | 167376604 | |
| Texas | MEDICAID | 167376602 | |
| Texas | MEDICAID | 167376603 | |
| Texas | Other | P00334347 |
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