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Individual
DR. WALTER W OHARA
Active
Individual
DR. WALTER W OHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0429755
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N8699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100422750A
—
KS
01
—
1376541789
BLUE CROSS BLUE SHIELD
TX
05
—
280663001
—
TX
05
—
280663002
—
TX
05
—
280663003
—
TX
05
—
280663004
—
TX
01
—
P01301598
RR MEDICARE
TX
Enumeration date
07/09/2005
Last updated
10/18/2017
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