Individual
DAN ISHIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1344 S APOLLO BLVD STE 103, MELBOURNE, FL 32901-3183
(321) 441-8915
(321) 727-2990
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01080042A
IN
2085R0001X
Radiation Oncology Physician
51400
KY
2085R0001X
Radiation Oncology Physician
Primary
ME164834
FL
Other
Enumeration date
04/04/2013
Last updated
02/06/2024
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