Individual
DR. ANDREW TAKAMORI NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3151
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22566
MS
207P00000X
Emergency Medicine Physician
MD.203905
LA
Other
Enumeration date
03/20/2009
Last updated
03/19/2018
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