Provider Demographics
NPI:1306053475
Name:JINNAH, AMINA PATEL (MD)
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:PATEL
Last Name:JINNAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMINA
Other - Middle Name:YUSUF ALI
Other - Last Name:PATEL JINNAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9235 KATY FWY
Mailing Address - Street 2:STE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1507
Mailing Address - Country:US
Mailing Address - Phone:407-447-7121
Mailing Address - Fax:407-770-0661
Practice Address - Street 1:7629 TIKI DR
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1548
Practice Address - Country:US
Practice Address - Phone:281-346-0018
Practice Address - Fax:281-346-0913
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9044207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180554111Medicaid
TXTXB131424Medicare PIN
TX180554111Medicaid
TXTXB131420Medicare PIN