Provider Demographics
NPI:1871524553
Name:AMIN, NAVINCHANDRA MANIBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:NAVINCHANDRA
Middle Name:MANIBHAI
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11927
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-3927
Mailing Address - Country:US
Mailing Address - Phone:661-873-0005
Mailing Address - Fax:661-871-1413
Practice Address - Street 1:2601 OSWELL ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3156
Practice Address - Country:US
Practice Address - Phone:661-873-0005
Practice Address - Fax:661-871-1413
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34159207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A341590Medicaid
CACW948AOtherMEDICARE
A27398Medicare UPIN