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Individual

DR. YOICHI CHARLEY IMAMURA

Active
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Individual

DR. YOICHI CHARLEY IMAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35070875
OH
208M00000X
Hospitalist Physician
35070875
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000035503
ANTHEM
—
01
—
0403252
UHC
OH
01
—
101046
BLACK LUNG
—
01
—
110182531
RAILROAD MEDICARE PTAN
OH
01
—
11018253124506
RR MCR
OH
05
—
2025267
—
OH
01
—
341875779027
CARESOURCE
—
Enumeration date
08/18/2006
Last updated
02/16/2026
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