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Individual

BRYAN MAKOTO SAKAMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1481 WEST 10TH STREET, RICHARD L. ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202
(317) 988-4699
(317) 988-3163
Mailing address
1481 WEST 10TH STREET, RICHARD L. ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202
(317) 988-4699
(317) 988-3163

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01065544A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01065544A
IN

Other

Enumeration date
05/29/2008
Last updated
12/24/2009
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