Provider Demographics
NPI:1720491541
Name:AMATA, ANDREW (MBBS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:AMATA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEW MARKET AND EAST STREETS
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DEMERARA
Mailing Address - Zip Code:00100
Mailing Address - Country:GY
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NEW MARKET AND EAST STREETS
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DEMERARA
Practice Address - Zip Code:00100
Practice Address - Country:GY
Practice Address - Phone:592-227-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60459319207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology