MEDICARE: AMIE YU-CHIA GREENE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A152644	CA

General Provider Information

NPI Number	:	1528414851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIE YU-CHIA GREENE MD

Provider Business Mailing Address
First Line	:	455 E EISENHOWER PKWY STE 300-1058
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-3356
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5960 S LAND PARK DR STE 1218
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-3313
Country	:	US
Telephone Number	:	408-708-1359
Fax Number	:	866-709-2006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	10/24/2024

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