# DR. AMY ANNA EAPEN

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

## Provider details

- **NPI number:** 1659784718
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0201X | Pediatric Allergy/Immunology Physician | 4301502178 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11017745A | IN | — |

## Other

- **Enumeration date:** 06/06/2014
- **Last updated:** 05/21/2020