Provider Demographics
NPI:1417928904
Name:NAHATA, AMIT K (MD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:K
Last Name:NAHATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:380 SUMMIT AVENUE
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:740-283-7597
Mailing Address - Fax:740-283-7807
Practice Address - Street 1:4000 JOHNSON RD FL 4
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2364
Practice Address - Country:US
Practice Address - Phone:740-314-8426
Practice Address - Fax:740-672-5571
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2025-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD424315207RN0300X
WV22505207RN0300X
OH35.088532207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2994201Medicaid
PAI07691Medicare UPIN
PA079941PYTMedicare ID - Type Unspecified
WVDI9372201Medicare PIN