Healthcare Provider Details

I. General information

NPI: 1447746797
Provider Name (Legal Business Name): MICHAEL MORIKAWA AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 WISCONSIN AVE NW STE 202
WASHINGTON DC
20007-2265
US

IV. Provider business mailing address

1811 VERNON ST NW APT 204
WASHINGTON DC
20009-1253
US

V. Phone/Fax

Practice location:
  • Phone: 202-944-5300
  • Fax:
Mailing address:
  • Phone: 540-335-5402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: