Imamura, Michiaki

Imamura, Michiaki is an individual health care provider with primary practice located at 6621 Fannin Street Wt-19345H, Houston TX 77030-2399. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Imamura, Michiaki can be contacted via phone (832) 826-1929.

Contact Information

Primary practice address
6621 Fannin Street Wt-19345H Houston TX 77030-2399
Phone: (832) 826-1929
Fax: (832) 825-1904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E-3474 Arkansas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X E-3474 Arkansas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 45912 Texas

Profile Details

NPI number 1215028402
LBN Legal business name Imamura, Michiaki
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 23rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215028402 NPPES
Arkansas MEDICAID 148197001
Arkansas Other 02100031400

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