Individual
DR. EVAN KYO TAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
(614) 274-1433
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11055198-1205
UT
207Q00000X
Family Medicine Physician
Primary
35.141449
OH
207Q00000X
Family Medicine Physician
A151864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440853
—
OH
Enumeration date
03/29/2016
Last updated
11/01/2023
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