Provider Demographics
NPI:1093978124
Name:MICHAEL, AMANDA MAE (DO)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MAE
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:101 DRAKE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1556
Mailing Address - Country:US
Mailing Address - Phone:412-347-0057
Mailing Address - Fax:412-347-0062
Practice Address - Street 1:101 DRAKE RD
Practice Address - Street 2:SUITE C
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1556
Practice Address - Country:US
Practice Address - Phone:412-347-0057
Practice Address - Fax:412-347-0062
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2014-04-14
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Provider Licenses
StateLicense IDTaxonomies
PAOS015807207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease