Provider Demographics
NPI:1699119701
Name:AMITAI, AMIR (MD)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:AMITAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 , HARIMONIM ST.
Mailing Address - Street 2:MOSHAV RINNATIA
Mailing Address - City:MOSHAV RINNATIA
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:73165
Mailing Address - Country:IL
Mailing Address - Phone:0097254-679-0136
Mailing Address - Fax:
Practice Address - Street 1:39 JABOTINSKI ST
Practice Address - Street 2:RABIN MEDICAL CENTER, BEILINSON CAMPUS
Practice Address - City:PETAH-TIKVA
Practice Address - State:ISRAEL
Practice Address - Zip Code:49100
Practice Address - Country:IL
Practice Address - Phone:009723-937-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ37761282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital