Ikeda, Margaret Kiyo
Ikeda, Margaret Kiyo is an individual health care provider with primary practice located at 374 Grand Ave , New Haven CT 06513-3733. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ikeda, Margaret Kiyo can be contacted via phone (203) 777-7411.Contact Information
Primary practice address
374 Grand Ave
New Haven CT 06513-3733
Phone: (203) 777-7411
Fax: (203) 777-6508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 028111 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 028111 | Connecticut |
Profile Details
| NPI number | 1750475117 |
|---|---|
| LBN Legal business name | Ikeda, Margaret Kiyo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750475117 | NPPES |
| Connecticut | Other | 028111 | MEDICAL LICENSE |
| Connecticut | Other | 17724 | MEDICAL LICENSE |
| Connecticut | MEDICAID | 001281112 | MEDICAL LICENSE |
| Connecticut | Other | 38502 | MEDICAL LICENSE |
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