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Individual
NOBUO NAKAGAWA
Active
Individual
NOBUO NAKAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301095434
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301095434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160160R
MEDICARE PIN
MI
05
—
200340900
—
MI
01
—
E29187
MEDICARE UPIN
MI
Enumeration date
10/27/2005
Last updated
09/12/2019
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