Diane C.l. Ichikawa
Gynecologist
850 Clairton Blvd Suite 3100
Pittsburgh
, Pennsylvania 15236-4567
Diane C.l. Ichikawa
Gynecologist
850 Clairton Blvd Suite 3100
Pittsburgh
, Pennsylvania 15236-4567
(412) 466-4668
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Diane C.l. Ichikawa
- 850 Clairton Blvd Suite 3100
- Pittsburgh, PA
- Zip : 15236-4567
- Fax : (412) 466-4668
- Phone : (412) 466-2222
Second Address
- Diane C.l. Ichikawa
- 850 Clairton Blvd Suite 3100
- Pittsburgh, PA
- Zip : 15236-4567
- Fax : (412) 466-4668
- Phone : (412) 466-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MD025646E | PA |
National Provider Identifier
| NPI | 1053347377 |
|---|---|
| Provider Name | Diane C.l. Ichikawa |
| First Address | Pittsburgh, PA 15236-4567 |
| Second Address | Pittsburgh, PA 15236-4567 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B41037 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.