Ikuyo Yamaguchi
Pediatrician Pediatric Nephrologist
1200 Childrens Ave
Oklahoma City
, Oklahoma 73104-4637
Ikuyo Yamaguchi
Pediatrician Pediatric Nephrologist
1200 Childrens Ave
Oklahoma City
, Oklahoma 73104-4637
(405) 271-4211
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Ikuyo Yamaguchi
- 1200 Childrens Ave
- Oklahoma City, OK
- Zip : 73104-4637
- Phone : (405) 271-4211
Second Address
- Ikuyo Yamaguchi
- 1200 Childrens Ave
- Oklahoma City, OK
- Zip : 73104-4637
- Phone : (405) 271-4211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD00041921 | WA |
| N | 2080P0210X | Pediatric Nephrologist | MD00041921 | WA |
| Y | 2080P0210X | Pediatric Nephrologist | P8827 | TX |
National Provider Identifier
| NPI | 1700995073 |
|---|---|
| Provider Name | Ikuyo Yamaguchi |
| First Address | Oklahoma City, OK 73104-4637 |
| Second Address | Oklahoma City, OK 73104-4637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 24/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 331948501 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.