Individual
KAORU SASAKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DRIVE, UNIVERSITY OF IOWA HOSPITALS & CLINICS DEPT RADIOLOGY, IOWA CITY, IA 52242-1082
(319) 356-7222
(319) 356-2220
Mailing address
200 HAWKINS DRIVE, UNIVERSITY OF IOWA HOSPITALS & CLINICS DEPT RADIOLOGY, IOWA CITY, IA 52242-1082
(319) 356-7222
(319) 356-2220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
SP156
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442293
—
IA
01
—
36839
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
07/08/2007
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