Individual
SHISHIN MIYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2548
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-1784
GU
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/19/2010
Last updated
01/26/2026
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