Provider Demographics
NPI:1063587020
Name:AMIN, KUMAR B (MD)
Entity type:Individual
Prefix:DR
First Name:KUMAR
Middle Name:B
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7776
Mailing Address - Fax:740-283-7807
Practice Address - Street 1:4100 JOHNSON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2356
Practice Address - Country:US
Practice Address - Phone:740-283-2062
Practice Address - Fax:740-283-2049
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2020-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35070678207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0306172Medicaid
OHG38229Medicare UPIN
OH0306172Medicaid