Miyamoto, Richard T

Miyamoto, Richard T is an individual health care provider with primary practice located at 705 Riley Hospital Dr Suite 0860, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Miyamoto, Richard T can be contacted via phone (317) 274-3556.

Contact Information

Primary practice address
705 Riley Hospital Dr Suite 0860 Indianapolis IN 46202-5109
Phone: (317) 274-3556
Fax: (317) 278-3743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 01024300 Indiana

Profile Details

NPI number 1144258625
LBN Legal business name Miyamoto, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 18th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144258625 NPPES
Indiana MEDICAID 100061170

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