Provider Demographics
NPI:1598105256
Name:CALLEROZ, AMANDA THERESA (MD)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:THERESA
Last Name:CALLEROZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:983135 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3135
Mailing Address - Country:US
Mailing Address - Phone:402-559-7726
Mailing Address - Fax:402-559-6018
Practice Address - Street 1:983135 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3135
Practice Address - Country:US
Practice Address - Phone:402-559-7726
Practice Address - Fax:402-559-6018
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
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Provider Licenses
StateLicense IDTaxonomies
NE7084207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology