Doctor Name: | MR. DENIS SHIGEO YAMADA |
NPI Number: | 1124019484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C. |
License Number: | AMD 122 |
Business Practice Address: | 1 Jarrett White Rd Tamc, HI - 968595001 |
Business Phone Number: | 8084333869 |
Business Fax Number: | |
Mailing Address: | 94-1008 Halepuna St, WAIPAHU |
State: | HI |
Postal Code: | 967975451 |
Phone Number: | 8086881688 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | AMD 122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |