Whalio Doctors

NPI 1184006108

Shinya Amano, MD

Practitioner Dermatology Physician Portland, ME

Practice location

Address
22 Bramhall St, Portland, ME 04102-3134
Phone
(207) 662-0111
Mailing address
PO Box 415348, Boston, MA 02241-5348

Registered specialties (4)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD23729 (ME)
Dermatopathology (Pathology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X Licence MD23729 (ME)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 278298 (MA)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence MD23729 (ME)

Registry record

NPI
1184006108
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jun 2015
Record last updated
2 Jul 2020

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.