Mohammad Basil Amin MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME72588 Issued in FL

Legal business name

MOHAMMAD BASIL AMIN MD PA

Practice address

800 Prudential Dr
Jacksonville, FL 32207-8202

Phone

(904) 446-6666

NPI assigned

Nov 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad B Amin, MD

Title

Owner

Phone

(904) 446-6666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lanisha J Holloway

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1497039143
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1760719702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2261",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320672261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-446-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD BASIL AMIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-446-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdullah Yousef Mahmoud Mohamed
• Ali Ahmed Mohamed
• Khaled Sabry Mohamed, MD
• Ussama Saad Abdelhamid Mohamed, PT
• Omer Mohamedahmed, MD
• Abdelwhab Suliman Mohammad
• Amir Mohammadi, M.D.
• Homan Mohammadi, M.D.
• Abdolreza Mohammadian, M.D
• Payam Mohammadinejad

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.