Mimura, Hidefumi

Mimura, Hidefumi is an individual health care provider with primary practice located at 200 Hawkins Dr University Of Iowa Hospitals & Clinics, Iowa City IA 52242-1009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Mimura, Hidefumi can be contacted via phone (319) 356-1071.

Contact Information

Primary practice address
200 Hawkins Dr University Of Iowa Hospitals & Clinics Iowa City IA 52242-1009
Phone: (319) 356-1071
Fax: (319) 356-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X SP 162 Iowa

Profile Details

NPI number 1528056470
LBN Legal business name Mimura, Hidefumi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1528056470 NPPES
Iowa MEDICAID 0459081
Iowa Other 38548

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