Basic Information
| Provider Information | |||||||||
| NPI: | 1386805968 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WHITE | ||||||||
| FirstName: | AMINA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PORTER | ||||||||
| OtherFirstName: | AMINA | ||||||||
| OtherMiddleName: | A | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 7535 CARPENTER FIRE STATION RD | ||||||||
| Address2: | SUITE 105DEPT. OF OB/GYN | ||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275198617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192302100 | ||||||||
| FaxNumber: | 9192302133 | ||||||||
| Practice Location | |||||||||
| Address1: | 7535 CARPENTER FIRE STATION RD | ||||||||
| Address2: | SUITE 105DEPT. OF OB/GYN | ||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275198617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192302100 | ||||||||
| FaxNumber: | 9192302133 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2008 | ||||||||
| LastUpdateDate: | 12/07/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD037341 | DC | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 2015-01955 | NC | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | MD037341 | 01 | DC | LICENSE | OTHER |