Individual provider · Type 1 NPI

Amanda Miyuki Dougherty, MD

Student in an Organized Health Care Education/Training Program · Cincinnati, OH

NPI number 1629837877 Active

Practice location

234 Goodman Street
Cincinnati, OH 45219-0796

Call (513) 558-7651 Map

Fax (513) 475-8726

Mailing address

231 Albert Sabin Way # 526
Cincinnati, OH 45267-0526

Other practice locations

  • 2160 S 1st Ave, Maywood, IL 60153-3328 · (408) 463-8344

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X125.083615 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629837877

Amanda Miyuki Dougherty, MD's National Provider Identifier is 1629837877, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cincinnati, OH. The record was last updated on Apr 6, 2025.