Individual
DR. HIDEKI ICHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E 2ND ST, SUITE 400, RENO, NV 89502-1262
(775) 982-2400
(775) 982-3294
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10159
NV
207RI0011X
Interventional Cardiology Physician
Primary
10159
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033136932
—
NV
01
—
11040684
CAQH
—
01
—
CC3194
BLUE CROSS BLUE SHIELD
NV
05
—
XPY197049
—
CA
Enumeration date
07/16/2006
Last updated
09/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us