Individual
KENICHI UEDA
Active
Individual
KENICHI UEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
SP176
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468280
—
IA
01
—
39367
WELLMARK BCBS
IA
Enumeration date
11/08/2005
Last updated
12/19/2007
Update your record
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