Individual
ISAO MIYAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MADISON AVE, SUITE C50, MEMPHIS, TN 38163-0001
(901) 448-5364
Mailing address
7933 GROVESHIRE CT, GERMANTOWN, TN 38138-3310
(901) 753-6930
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
42605
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
04/13/2007
Last updated
10/15/2007
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