# MICHELLE IRENE AMAYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568489557
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 17476 | AL | — |
| 208000000X | Pediatrics Physician | 31238 | SC | Yes |
| 2080C0008X | Child Abuse Pediatrics Physician | 31238 | SC | — |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 05/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000024694 | — | AL |
| 05 | — | 000028985 | — | AL |
| 05 | — | 009999735 | — | AL |
| 05 | — | 312389 | — | SC |
| 01 | — | 510-24694 | BC BS | AL |
| 01 | — | F61561 | VIVA | — |
