Vijaykumar C Amin, M.D

Individual provider Active NPI Medical Oncology Physician · Rockledge, FL

NPI 1124085014 · NPPES record last updated Jul 20, 2007

Key facts

NPI
1124085014
Entity type
Individual (NPI type 1)
Primary specialty
Medical Oncology Physician 207RX0202X
License
01029193A (IN)
Practice address
3322 Siderwheel Dr
Rockledge, FL 32955-6026
Phone
(321) 636-0028
Fax
(321) 636-0028
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01029193AINMDMedical Oncology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 01029193A IN Yes

Addresses

Primary practice location

3322 Siderwheel Dr
Rockledge, FL 32955-6026

Mailing address

3322 Siderwheel Dr
Rockledge, FL 32955-6026
Phone (321) 636-0028

Other providers in Rockledge, FL

All providers in Rockledge, FL · Medical Oncology Physician in Florida

Sources for this page

Verify at the official NPI Registry.