Individual
SHINYA AMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
278298
MA
207N00000X
Dermatology Physician
Primary
MD23729
ME
207ND0900X
Dermatopathology Physician
MD23729
ME
207ZD0900X
Dermatopathology (Pathology) Physician
MD23729
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184006108
—
ME
Enumeration date
06/25/2015
Last updated
07/02/2020
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