National Provider Identifier
Mika Iwano, M.D.
Mika Iwano, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Emergency Medicine) Physician in Buffalo, NY and a listed phone number of (716) 323-0220.
Profile Overview
- NPI
- 1043573017
- Provider Type
- Individual
- Primary Specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Enumeration Date
- June 24, 2012
- Last Updated
- October 15, 2021
Practice Location
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Phone: (716) 323-0220
Mailing Address
- 2601 E Roosevelt St
- Phoenix, AZ 85008-4973
Specialties
- Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1043573017
- Entity Type
- Individual
- Last Name
- Iwano
- First Name
- Mika
- Credential
- M.D.
- Provider Other Last Name
- Ito
- Provider Other First Name
- Mika
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2601 E Roosevelt St
- Mailing City
- Phoenix
- Mailing State
- AZ
- Mailing ZIP Code
- 85008-4973
- Mailing Country
- US
- Mailing Phone
- (602) 344-5461
- Mailing Fax
- (602) 344-5805
- Practice Street Address
- 1001 Main St Fl 5
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 323-0220
- Enumeration Date
- June 24, 2012
- Last Updated
- October 15, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), Student in an Organized Health Care Education/Training Program (390200000X)