Individual provider · Type 1 NPI

Takuma Miyamoto, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1962075127 Active

Practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

1025 Walnut St Ste 607
Philadelphia, PA 19107-5001

Other practice locations

  • 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 · (215) 955-5818

Specialties and licenses

TaxonomyCodeLicense
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 1962075127

Takuma Miyamoto, MD's National Provider Identifier is 1962075127, issued on Jul 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Feb 25, 2023.