Provider Demographics
NPI:1619204534
Name:AMIN, NEHA PRADIP (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:PRADIP
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 UPPER CHESAPEAKE DR
Mailing Address - Street 2:KAUFMAN CANCER CENTER
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4324
Mailing Address - Country:US
Mailing Address - Phone:443-643-1199
Mailing Address - Fax:443-643-1198
Practice Address - Street 1:500 UPPER CHESAPEAKE DR
Practice Address - Street 2:KAUFMAN CANCER CENTER
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4324
Practice Address - Country:US
Practice Address - Phone:443-643-1199
Practice Address - Fax:443-643-1198
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00788642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630830Medicare PIN