MEDICARE: KANA MIYATA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A127779	CA
2	207RN0300X	Nephrology Physician	2020016492	MO

General Provider Information

NPI Number	:	1205114477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANA MIYATA

Provider Business Mailing Address
First Line	:	1008 S. SPRING AVE.
Second Line	:	SLUCARE ACADEMIC PAVILION, ROOM 2412, NEPHROLOGY
City	:	ST. LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	314-977-2650
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 S. SPRING AVE.
Second Line	:	SLUCARE ACADEMIC PAVILION, ROOM 2412, NEPHROLOGY
City	:	ST. LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	314-977-2650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	01/12/2021

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1174887921 — AFSHEEN K SHERWANI M.D.
Practice Location Address:

3691 RUTGER ST
SAINT LOUIS, MO
63110-2515

Practice Phone: 314-977-5600
Practice Fax:

1932117819 — MEDHAT M OSMAN MD
Practice Location Address:

3660 VISTA
ST LOUIS, MO
63110

Practice Phone: 314-577-8047
Practice Fax: 314-268-5116

1184587230 — PATRICIA ELLIOTT
Practice Location Address:

2116 BOARDMAN ST
SAINT LOUIS, MO
63110-3046

Practice Phone: 314-341-2880
Practice Fax:

Directions to “ KANA MIYATA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.