Diane C.L. Ichikawa, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD025646E Issued in PA

Practice address

850 Clairton Blvd
Suite 3100
Pittsburgh, PA 15236-4567

Phone

(412) 466-2222

Fax

(412) 466-4668

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053347377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CLAIRTON BLVD",
            "address_2": "SUITE 3100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364567",
            "telephone_number": "412-466-2222",
            "fax_number": "412-466-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CLAIRTON BLVD",
            "address_2": "SUITE 3100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364567",
            "telephone_number": "412-466-2222",
            "fax_number": "412-466-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHIKAWA",
        "first_name": "DIANE",
        "middle_name": "C.L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD025646E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Said Aidid Ibrahim, MD
• Sharilynn Ichimura, PT
• Ida's Homecare Agency LLC
• Lucienne Marie Ide, M.D., PH.D.
• Ideal Facial Plastic & Laser Surgery PC
• Ideal Homehealth Agency, LLC

• Gynecology Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.