NPI 1013768753
Ivan Kai Makiyama, DO
Practice location
- Address
- 215 Marion Ave, McComb, MS 39648-2705
- Phone
- (601) 249-5500
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1013768753
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Apr 2024
- Record last updated
- 1 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.