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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700995073 NPPES
Texas MEDICAID 331948501

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