DR. AMY ANNA EAPEN


Address: 19401 Hubbard Dr, Dearborn, MI 48126-2641
Phone: 3135938100

DR. AMY ANNA EAPEN (NPI# 1659784718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659784718
Entity Type Individual
Full Name DR. AMY ANNA EAPEN
Credential M.D.
Practice Address 19401 Hubbard Dr
Dearborn
MI 48126-2641
Practice Telephone 3135938100
Enumeration Date 2014-06-06
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
4301502178 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 11017745A IN Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
705 Riley Hospital Dr, Room 5867, Indianapolis, IN 462025109 3179444034

Other Providers AMY EAPEN

NPI Name Taxonomy Address Enumeration
1083859631 Amy Eapen Physical Therapist 306 Nassau Blvd, Garden City, NY 11530-5314 2008-12-11

Office Location

Street Address 19401 HUBBARD DR
City DEARBORN
State MI
Zip Code 48126-2641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245205525 Henry Ford Health System Durable Medical Equipment & Medical Supplies 19401 Hubbard Dr, Suite 100, Dearborn, MI 48126-2641 2006-02-21
1881208783 Elizabeth Anne Labodie Nurse Practitioner 19401 Hubbard Dr, Dearborn, MI 48126-2641 2020-09-08
1396378931 Camiron Alicia Andrews Massage Therapist 19401 Hubbard Dr, Dearborn, MI 48126-2699 2020-02-21
1851944573 Andrew Sedra Pharmacist 19401 Hubbard Dr, Dearborn, MI 48126-2641 2019-07-22
1780244509 Randa Abu Sayf Pharmacist 19401 Hubbard Dr, Dearborn, MI 48126-2641 2019-06-14
1134788110 Kathryn Ann Rankin Physician Assistant 19401 Hubbard Dr, Dearborn, MI 48126-2641 2019-06-12
1366907982 Fadi Fardous Pharmacist 19401 Hubbard Dr, Dearborn, MI 48126-2641 2019-02-07
1952885220 Miranda H Rippin Pharmacist 19401 Hubbard Dr, Dearborn, MI 48126-2641 2018-09-21
1366943417 Carrie Marie Foggia Occupational Therapist 19401 Hubbard Dr, Dearborn, MI 48126-2641 2018-02-23
1265958656 Scott Backman Pharmacist 19401 Hubbard Dr, Dearborn, MI 48126-2641 2017-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194323303 Aq Dental Group Pllc Clinic/Center 10413 Ford Road, Units M & N, Dearborn, MI 48126 2020-10-12
1275148165 Anasthesia Pain Service PC Clinic/Center 15350 Michigan Ave, Dearborn, MI 48126 2020-09-09
1417501958 Ximena Noemi Ortega Behavior Technician 6241 Miller Rd, Dearborn, MI 48126 2019-08-01
1912478827 Abar Alghazali Behavior Technician 4641 Lois, Dearborn, MI 48126 2018-12-17
1861972457 Laboratory Specialists of Michigan, LLC Clinical Medical Laboratory 13530 Michigan Ave Ste 240, Dearborn, MI 48126 2018-08-14
1528544806 Farah Osman Pharmacist 14715 Ford Rd, Dearborn, MI 48126 2018-07-19
1255821328 Loyal Pharmacy LLC Pharmacy 7118 Greenfield Rd St(b), Dearborn, MI 48126 2018-05-15
1952803900 Neetika Kesar Physical Therapist 15051, Ford Road, Dearborn, MI 48126 2018-03-06
1396247607 David Jerome Kurcz Physical Therapy Assistant 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 2018-03-02
1043732506 Shadiya Ahmed Dentist 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 2017-07-16
Find all providers in zip 48126

Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770970246 Jenny Huang Pediatrics 3950 Beaubien St, Detroit, MI 48201-2166 2015-04-22
1316334253 Jeffrey Kepes Pediatrics 3950 Beaubien St, Detroit, MI 48201-2166 2015-04-17
1568671972 Allergy & Immunology Associates of Ann Arbor, P.C. Pediatrics 2000 N Huron River Dr Ste 200, Ypsilanti, MI 48197-1791 2007-05-22
1497823934 Robert N. Enberg Pediatrics 2799 W Grand Blvd, Detroit, MI 48202-2608 2006-12-01
1124096367 Carter D Brooks Pediatrics 1000 Oakland Dr, Kalamazoo, MI 49008-1282 2006-03-14

Competitor

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City DEARBORN
Zip Code 48126

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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