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Individual

DONOVAN LYLE YAMADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
(865) 766-0133
Mailing address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
(865) 766-0133

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41726
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3828090
TN
05
3828091
TN
05
5905474
AL
01
P000365256
RR MCARE-ADR
TN
01
P000379147
RR MCARE-CI
TN
Enumeration date
08/28/2006
Last updated
01/05/2021
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