Individual
DR. MIYA REI ASATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-8187
(443) 923-9165
Mailing address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 540-3166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD063686L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100937817
—
PA
Enumeration date
02/02/2006
Last updated
07/23/2021
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