Date, Amit
Date, Amit is an individual health care provider with primary practice located at 5405 Oberlin Dr Fl 2 , San Diego CA 92121-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Date, Amit can be contacted via phone (858) 909-0770.Contact Information
Primary practice address
5405 Oberlin Dr Fl 2
San Diego CA 92121-1700
Phone: (858) 909-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 125-049364 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036126212 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | C177918 | California |
Profile Details
| NPI number | 1831311984 |
|---|---|
| LBN Legal business name | Date, Amit |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | May 27th, 2022 - about 2 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 | 1831311984 | NPPES |
| Illinois | Other | IL2613 | MEDICARE GROUP PTAN |
| Illinois | Other | IL2613057 | MEDICARE GROUP PTAN |
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