Individual
DR. AMANDA MIYUKI DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN STREET, CINCINNATI, OH 45219-0796
(513) 558-7651
(513) 475-8726
Mailing address
231 ALBERT SABIN WAY # 526, CINCINNATI, OH 45267-0526
(513) 558-7651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.083615
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
04/06/2025
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