Most Relevant Information
Provider Data
| NPI Number: | 1003348715 |
| Provider Name: | DAVID IKEDA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2017 |
| Last Updated: | 08/11/2021 |
Provider Practice Location
8260 ATLEE RD
MECHANICSVILLE
VA
231161844
Practice Location Phone/Fax
| Phone: | 8047646000 |
| Fax: |
Provider Mailing Location
8260 ATLEE RD
MECHANICSVILLE
VA
231161844
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |