Yamaguchi, Ikuyo
Yamaguchi, Ikuyo is an individual health care provider with primary practice located at 1200 Childrens Ave , Oklahoma City OK 73104-4637. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Yamaguchi, Ikuyo can be contacted via phone (405) 271-4211.Contact Information
Primary practice address
1200 Childrens Ave
Oklahoma City OK 73104-4637
Phone: (405) 271-4211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00041921 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD00041921 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | P8827 | Texas |
Profile Details
| NPI number | 1700995073 |
|---|---|
| LBN Legal business name | Yamaguchi, Ikuyo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 24th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700995073 | NPPES |
| Texas | MEDICAID | 331948501 |
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