Individual
DEAN K. MIYAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10085 DOUBLE R BLVD STE 220, RENO, NV 89521-3855
(775) 982-5000
(775) 982-8180
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8197
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020116710
—
NV
01
—
110193142
RAILROAD MEDICARE
NV
01
—
11050891
CAQH
—
Enumeration date
02/10/2006
Last updated
02/13/2025
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