Provider Demographics
NPI:1316986458
Name:AMIN, BIPIN R (MD)
Entity type:Individual
Prefix:DR
First Name:BIPIN
Middle Name:R
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3887 SKIPPACK PIKE
Mailing Address - Street 2:PO BOX 70
Mailing Address - City:SKIPPACK
Mailing Address - State:PA
Mailing Address - Zip Code:19474
Mailing Address - Country:US
Mailing Address - Phone:610-584-1663
Mailing Address - Fax:610-584-5188
Practice Address - Street 1:3887 SKIPPACK PIKE
Practice Address - Street 2:
Practice Address - City:SKIPPACK
Practice Address - State:PA
Practice Address - Zip Code:19474-0070
Practice Address - Country:US
Practice Address - Phone:610-584-1663
Practice Address - Fax:610-584-5188
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-024137-E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00865Medicare ID - Type Unspecified