Provider Demographics
NPI:1912392655
Name:LITTLE-RICHARDSON, AMANDA CHERUB (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:CHERUB
Last Name:LITTLE-RICHARDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:321 MIDDLEFIELD RD STE 165
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4011
Mailing Address - Country:US
Mailing Address - Phone:650-498-7489
Mailing Address - Fax:
Practice Address - Street 1:321 MIDDLEFIELD RD STE 165
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4011
Practice Address - Country:US
Practice Address - Phone:650-498-7489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA163001207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology