Provider Demographics
NPI:1386805968
Name:WHITE, AMINA A (MD)
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:A
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMINA
Other - Middle Name:A
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7535 CARPENTER FIRE STATION RD
Mailing Address - Street 2:SUITE 105DEPT. OF OB/GYN
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8617
Mailing Address - Country:US
Mailing Address - Phone:919-230-2100
Mailing Address - Fax:919-230-2133
Practice Address - Street 1:7535 CARPENTER FIRE STATION RD
Practice Address - Street 2:SUITE 105DEPT. OF OB/GYN
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8617
Practice Address - Country:US
Practice Address - Phone:919-230-2100
Practice Address - Fax:919-230-2133
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD037341207V00000X
NC2015-01955207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD037341OtherLICENSE
NCNCQ198F101Medicare PIN