Provider Demographics
NPI:1942652193
Name:AMIN, HARSH (DPM)
Entity type:Individual
Prefix:
First Name:HARSH
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 W ASCENSION WAY STE 425
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-3102
Mailing Address - Country:US
Mailing Address - Phone:915-598-3338
Mailing Address - Fax:
Practice Address - Street 1:1608 7TH ST STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-5177
Practice Address - Country:US
Practice Address - Phone:505-425-3569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006774213ES0103X
TX3183213ES0103X
NMPOD2025-0003213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery