YASUHIDE MIKAMI


Address: 710 E Keats Ave, Fresno, CA 93710-7022
Phone: 5592241327

YASUHIDE MIKAMI (NPI# 1487023149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487023149
Entity Type Individual
Full Name YASUHIDE MIKAMI
Credential RT
Practice Address 710 E Keats Ave
Fresno
CA 93710-7022
Practice Telephone 5592241327
Mailing Telephone 5592241327
Enumeration Date 2015-09-23
Last Update Date 2015-09-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247100000X Radiologic Technologist RHF00100816 CA Technologists, Technicians & Other Technical Service Providers
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
RHF00100816 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 710 E KEATS AVE
City FRESNO
State CA
Zip Code 93710-7022

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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

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Competitor

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City FRESNO
Zip Code 93710

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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