Provider Demographics
NPI:1578558680
Name:AMIN, ALTAMASH A (MD)
Entity type:Individual
Prefix:MR
First Name:ALTAMASH
Middle Name:A
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2233 N CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3730
Mailing Address - Country:US
Mailing Address - Phone:989-799-8420
Mailing Address - Fax:989-624-1506
Practice Address - Street 1:506 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1000
Practice Address - Country:US
Practice Address - Phone:989-652-9410
Practice Address - Fax:989-793-8577
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301062214207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4601340Medicaid
MIM20000013Medicare ID - Type Unspecified
MI4601340Medicaid