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NPI Code Detail

MEDICARE: DIANE C.L. ICHIKAWA M.D.

MEDICARE:   DIANE C.L. ICHIKAWA  M.D.
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
1207VG0400XGynecology PhysicianMD025646EPA

General Provider Information

NPI Number : 1053347377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE C.L. ICHIKAWA M.D.
Provider Business Mailing Address
First Line : 850 CLAIRTON BLVD
Second Line : SUITE 3100
City : PITTSBURGH
State : PA
Zip : 15236-4567
Country : US
Telephone Number : 412-466-2222
Fax Number : 412-466-4668
Provider Business Practice Location Address
First Line : 850 CLAIRTON BLVD
Second Line : SUITE 3100
City : PITTSBURGH
State : PA
Zip : 15236-4567
Country : US
Telephone Number : 412-466-2222
Fax Number : 412-466-4668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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Directions to “ DIANE C.L. ICHIKAWA M.D.” Practice Location

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