Individual
DR. GARREN MICHAEL IIDA LOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 E NORTH AVE STE 515, PITTSBURGH, PA 15212-4780
(412) 681-2300
Mailing address
490 E NORTH AVE STE 515, PITTSBURGH, PA 15212-4780
(412) 681-2300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD203810
OR
207Y00000X
Otolaryngology Physician
Primary
MD477946
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD203810
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15685968
CAQH
—
Enumeration date
06/08/2016
Last updated
08/19/2022
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