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Individual
DR. KAREN S MIKUNI
Active
Individual
DR. KAREN S MIKUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G74101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G741010
BLUE SHIELD OF CALIFORNIA
CA
05
—
00G741010
—
CA
01
—
080142127
RAILROAD MEDICARE
—
01
—
CB207799
MEDICARE ID
CA
Enumeration date
08/30/2005
Last updated
11/07/2017
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