Individual
DONOVAN LYLE YAMADA
Active
Individual
DONOVAN LYLE YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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