Individual
DEAN JARED YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 HEART DR, EAST CAROLINA HEART INSTITUTE AT ECU, GREENVILLE, NC 27834-8944
(252) 744-4400
(252) 744-7623
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2013-01240
NC
208600000X
Surgery Physician
TRN10139
FL
2086S0129X
Vascular Surgery Physician
Primary
2013-01204
NC
2086S0129X
Vascular Surgery Physician
345107
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316016397
—
NC
01
—
179P0
BCBSNC
NC
01
—
511378
UF RESIDENT PROVIDER NO.
FL
Enumeration date
11/06/2006
Last updated
07/08/2025
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