Individual
IKUYO IMAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6473 KINGSTON PIKE, KNOXVILLE, TN 37919-4832
(865) 588-8841
(865) 588-8841
Mailing address
PO BOX 207830, DALLAS, TX 75320-7830
(888) 412-2649
(405) 792-8910
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
70556
TN
207RP1001X
Pulmonary Disease Physician
Primary
70556
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036139811
IL
Other
Enumeration date
03/21/2014
Last updated
02/19/2025
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