Provider Demographics
NPI:1215977145
Name:AMIN, ALKESH C (MD)
Entity type:Individual
Prefix:
First Name:ALKESH
Middle Name:C
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:215 OAK DR SOUTH
Mailing Address - Street 2:SUITE G
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5629
Mailing Address - Country:US
Mailing Address - Phone:979-297-8911
Mailing Address - Fax:979-297-8440
Practice Address - Street 1:215 OAK DRIVE SOUTH
Practice Address - Street 2:SUITE G
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566
Practice Address - Country:US
Practice Address - Phone:979-297-8911
Practice Address - Fax:979-297-8440
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-10-27
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Provider Licenses
StateLicense IDTaxonomies
TXJ6853207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035032401Medicaid
TX760664343OtherTAX ID