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NPI Code Detail

MEDICARE: MARIANA AMAYA M.D.

MEDICARE: MARIANA AMAYA M.D.
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
1207V00000XObstetrics & Gynecology Physician33643AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548280944
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA AMAYA M.D.
Provider Business Mailing Address
First Line : 600 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4213
Country : US
Telephone Number : 602-234-9611
Fax Number : 602-234-0011
Provider Business Practice Location Address
First Line : 600 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4213
Country : US
Telephone Number : 602-234-9611
Fax Number : 602-234-0011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 09/01/2011

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Directions to “ MARIANA AMAYA M.D.” Practice Location

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