Provider Demographics
NPI:1073822847
Name:CELII, AMANDA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MICHELLE
Last Name:CELII
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 STANTON L YOUNG BLVD STE 9000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5018
Mailing Address - Country:US
Mailing Address - Phone:405-271-5781
Mailing Address - Fax:405-271-3919
Practice Address - Street 1:825 NE 10TH ST STE 4G
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-9440
Practice Address - Fax:405-271-3919
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA734982086S0102X, 2086S0127X, 208600000X
OK332302086S0102X, 2086S0127X, 208600000X
PAMD447495208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery