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Individual
YUTAKA WAJIMA
Active
Individual
YUTAKA WAJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J-7864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104617903
—
TX
05
—
104617904
—
TX
01
—
8R7390
BLUE CROSS
—
01
—
BH9633
BLUE CROSS
—
01
—
J-7864
STATE LICENSE
TX
01
—
P00211061
MEDICARE RAILROAD
—
01
—
P00305313
MEDICARE RAILROAD
—
Enumeration date
02/15/2006
Last updated
10/03/2012
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