Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 142503 | NC |
N | 207V00000X | Obstetrician & Gynecologist | 35.123875 | OH |
N | 207VX0201X | Gynecologic Oncologist | 0116023283 | VA |
N | 207VX0201X | Gynecologic Oncologist | 35.123875 | OH |
Y | 207VX0201X | Gynecologic Oncologist | MD472231 | PA |
NPI | 1528266483 |
---|---|
Provider Name | Dr. John Mitsuo Nakayama |
First Address | Pittsburgh, PA 15224-2156 |
Second Address | Pittsburgh, PA 15224-2156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0105976 | (05) | OH |