Dev Amin

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Shreveport, LA

NPI 1023905148 · NPPES record last updated Jun 20, 2025

Key facts

NPI
1023905148
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 675-4147
Fax
(318) 675-5958
NPI assigned
Jun 20, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

9605 Baskerville Dr
Rockwall, TX 75087-8784
Phone (469) 321-5679

Other providers in Shreveport, LA

All providers in Shreveport, LA · Student in an Organized Health Care Education/Training Program in Louisiana

Sources for this page

Verify at the official NPI Registry.