Individual
YASUHARU OKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741
(407) 846-2266
Mailing address
700 W OAK ST, KISSIMMEE, FL 34741-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
218982
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02444062
—
NY
01
—
P00161256
RR MEDICARE
NY
Enumeration date
03/21/2006
Last updated
06/07/2018
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