# AMANDA JEAN KASEM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053559732
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 262062 | NY | — |
| 208000000X | Pediatrics Physician | A106141 | CA | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 262062 | NY | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 41517 | AZ | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | A106141 | CA | — |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 07/31/2023