Individual
JAVIER KENICHI NISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 S EUTAW ST STE 500, BALTIMORE, MD 21201-1619
(256) 520-8577
Mailing address
16 S EUTAW ST STE 500, BALTIMORE, MD 21201-1619
(410) 328-2477
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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