Individual provider · Type 1 NPI

Adesuwa Ihaza, MD

Student in an Organized Health Care Education/Training Program · Grandview, WA

NPI number 1649110602 Active

Practice location

1000 Wallace Way
Grandview, WA 98930-8805

Call (509) 882-3444 Map

Mailing address

PO Box 190
Toppenish, WA 98948-0190

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMDRE.ML.70116064 (WA)

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 1649110602

Adesuwa Ihaza, MD's National Provider Identifier is 1649110602, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grandview, WA. The record was last updated on Aug 26, 2026.