Amanda L Shepherd, MD
Obstetrics & Gynecology, Gynecologic Oncology in Sacramento, CA. Individual provider (NPI-1).
NPI number1285963843
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1285963843
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Shepherd
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2009
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | A135998 | CA | Yes |
| 207V00000X | Obstetrics & Gynecology | MD449062 | PA | |
| 207V00000X | Obstetrics & Gynecology | 294037 | NY | |
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 294037 | NY |
Practice location
2800 L St Ste 300Sacramento, CA 95816-5616
Phone 916-733-4440
Mailing address
Po Box 255228Sacramento, CA 95865-5228
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