Miyagawa, Dean K.
Miyagawa, Dean K. is an individual health care provider with primary practice located at 10085 Double R Blvd Suite 120, Reno NV 89521-5860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miyagawa, Dean K. can be contacted via phone (775) 982-5000.Contact Information
Primary practice address
10085 Double R Blvd Suite 120
Reno NV 89521-5860
Phone: (775) 982-5000
Fax: (775) 982-8180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8197 | Nevada |
Profile Details
| NPI number | 1821061599 |
|---|---|
| LBN Legal business name | Miyagawa, Dean K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Dec 23rd, 2020 - about 4 years ago |
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 | 1821061599 | NPPES |
| Other | 11050891 | CAQH | |
| MEDICAID | 0020116710 | CAQH | |
| Other | 110193142 | CAQH |
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