IndividualActive
Ryan Miyamoto, M.D.
NPI 1497923288 · Sports Medicine (Orthopaedic Surgery) Physician · Fairfax, VA
Provider details
- NPI number
- 1497923288
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101245582 (VA)
Practice location
3620 Joseph Siewick Dr Ste 201
Fairfax, VA 22033-1758
Phone: (703) 391-0111
Fax: (703) 391-2945
Mailing address
1860 Town Center Dr Ste 300
Reston, VA 20190-5900
Registry dates
- Enumerated
- 2008-02-14
- Last updated
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.