Individual provider · Type 1 NPI

Ivan Kai Makiyama, DO

Student in an Organized Health Care Education/Training Program · Mccomb, MS

NPI number 1013768753 Active

Practice location

215 Marion Ave
Mccomb, MS 39648-2705

Call (601) 249-5500 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X37648 (MS)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013768753

Ivan Kai Makiyama, DO's National Provider Identifier is 1013768753, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mccomb, MS. The record was last updated on Oct 28, 2026.