Individual
DEAN A NAKAMOTO
Active
Individual
DEAN A NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-055716
OH
2085R0202X
Diagnostic Radiology Physician
35055716
OH
2085R0204X
Vascular & Interventional Radiology Physician
35-055716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209122
UNISON
OH
01
—
000000503572
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
0882120
—
OH
05
—
1012090040001
—
PA
01
—
363870
WELLCARE
OH
01
—
3810009944
WV MEDICAID
WV
01
—
4392730
AETNA
OH
01
—
732574
BUCKEYE
OH
01
—
P00364277
RAILROAD MEDICARE
OH
Enumeration date
07/10/2006
Last updated
10/24/2023
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