Individual
CHIYO OTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4278 SUNNYDELL DR, WINSTON SALEM, NC 27106-3552
(336) 793-9226
Mailing address
4278 SUNNYDELL DR, WINSTON SALEM, NC 27106-3552
(336) 793-9226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57.014216
OH
Other
Enumeration date
04/17/2008
Last updated
08/18/2011
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