NPI 1184006108 · live from the CMS NPI Registry
Shinya Amano, M.D.
Dermatology in Portland, ME. National Provider Identifier 1184006108, active.
NPI record
| NPI | 1184006108 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 22 Bramhall St, Portland, ME 04102 |
| Practice phone | 207-662-0111 |
| Mailing address | Po Box 415348, Boston, MA 02241 |
| Enumerated | June 25, 2015 |
| Last updated | July 2, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pathology, Dermatopathology | 207ZD0900X | MD23729 (ME) |
| Dermatology | 207N00000X | 278298 (MA) |
| Dermatology, Dermatopathology | 207ND0900X | MD23729 (ME) |
| Dermatology primary | 207N00000X | MD23729 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.