Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Amanda Miyuki Dougherty, MD

Individual provider Surgery Physician · NPI 1629837877

Dr. Amanda Miyuki Dougherty, MD is a Surgery Physician in Cincinnati, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

234 Goodman St
Cincinnati, OH 45219-0796
Phone: (513) 558-7651
Fax: (513) 475-8726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (408) 463-8344

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 125.083615 (IL)

Record details

NPI number1629837877
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESApril 6, 2025
Certification dateApril 6, 2025

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