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Contact Information

RICHARD T MIYAMOTO, MD
705 RILEY HOSPITAL DR
SUITE 0860
INDIANAPOLIS, IN46202-5109
 Phone: 317-274-3556
 Fax: 317-278-3743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RICHARD T MIYAMOTO · (Male)

NPI # 1144258625
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 02/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01024300
  • IN Medicaid 100061170
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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