Individual
MS. MEGAN ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 448-7647
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(765) 747-4492
(317) 222-2126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01084101A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003364
—
IN
Enumeration date
04/22/2017
Last updated
11/04/2025
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