Individual
DR. ALYSSA SUI GEEN MIYASATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
732 HARRISON AVE FL 5, BOSTON, MA 02118-2309
(617) 414-6840
(617) 414-6710
Mailing address
1329 LUSITANA ST STE 802, HONOLULU, HI 96813-2434
(617) 414-6840
(617) 414-6710
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
1780386375
HI
213E00000X
Podiatrist
Primary
1780386375
HI
213EP1101X
Primary Podiatric Medicine Podiatrist
1780386375
HI
213ES0000X
Sports Medicine Podiatrist
1780386375
HI
213ES0103X
Foot & Ankle Surgery Podiatrist
1780386375
HI
213ES0131X
Foot Surgery Podiatrist
1780386375
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
04/23/2026
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