Individual ProviderMinal AminEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(888) 898-3291PECOS EnrollmentBased on the most recent information from CMS, provider Minal Amin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1710930979Provider TypeIndividualFull NameAmin, MinalCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/18/2006Last Updated1/11/2010Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(800) 536-8431Mailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567Phone(888) 898-3291Fax(800) 536-8431Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101232853VirginiaProvider IdentifiersIDDescriptionIssuerID5875561DescriptionMedicaidIssuerUnlistedVirginia