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NPI Code Detail

MEDICARE: NEIL KANESHIKI

MEDICARE: NEIL KANESHIKI
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
1208600000XSurgery PhysicianMD062797LPA

General Provider Information

NPI Number : 1306803671
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL KANESHIKI
Provider Business Mailing Address
First Line : 2525 NINTH AVENUE
Second Line : SUITE 1B
City : ALTOONA
State : PA
Zip : 16602-2014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2525 9TH AVE
Second Line : SUITE 1B
City : ALTOONA
State : PA
Zip : 16602-2014
Country : US
Telephone Number : 814-942-6038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 03/25/2021

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Directions to “ NEIL KANESHIKI ” Practice Location

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