Anup Gordbanbhai Amin, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Bryan, TX
NPI 1871500488 · NPPES record last updated Feb 13, 2012
Key facts
- NPI
- 1871500488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- G0650 (TX)
- Practice address
- 2700 E 29TH St Ste 260
Bryan, TX 77802-2587 - Phone
- (979) 774-0012
- Fax
- (979) 774-4636
- NPI assigned
- Aug 3, 2006
- 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)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- agamin@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G0650 | TX | Yes |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G0650 | TX |
Addresses
Primary practice location
2700 E 29TH St Ste 260
Bryan, TX 77802-2587
Mailing address
2700 E 29TH St Ste 260
Bryan, TX 77802-2587
Phone (979) 774-0012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115939402 | Medicaid | TX | |
| 260001305 | Other | TX | RAILROAD MEDICARE |
Other providers in Bryan, TX
- Maria O. Alvarez
- Adriana Nicolle Amagliani
- Amanda Pasley Gray, LPC, PLLC
- American Current Care P.a.
- Marche Amerson
- Anthony David Amoroso
- April Lauren Anderson
- Julia Lynn Anderson
- Krista Nicole Anderson
- Anesthesia Associates of Bryan LLC
All providers in Bryan, TX · Pulmonary Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.