Individual
ALAN TADAO UYENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 N TRACY BLVD, EMERGENCY DEPT., TRACY, CA 95376-3451
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTH STAR WAY, MODESTO, CA 95356
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G56383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G563830
BLUE SHIELD
CA
05
—
00G563830
—
CA
Enumeration date
11/04/2005
Last updated
07/28/2008
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