Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 33230 | OK |
N | 208600000X | Surgeon | 33230 | OK |
N | 208200000X | Surgeon | 73498 | GA |
N | 208600000X | Surgeon | 73498 | GA |
N | 208200000X | Surgeon | MD447495 | PA |
N | 208600000X | Surgeon | MD447495 | PA |
N | 2086S0102X | Surgical Critical Care | 33230 | OK |
N | 2086S0102X | Surgical Critical Care | 73498 | GA |
Y | 2086S0127X | Trauma Surgeon | 33230 | OK |
N | 2086S0127X | Trauma Surgeon | 73498 | GA |
NPI | 1073822847 |
---|---|
Provider Name | Dr. Amanda Michelle Celii |
First Address | Oklahoma City, OK 73104-5018 |
Second Address | Oklahoma City, OK 73104-5417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 16/08/2017 |