Individual
YUKITAKA SHIZUKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-1000
(513) 584-5501
Mailing address
2830 VICTORY PKWY, STE 310, CINCINNATI, OH 45206-3700
(513) 245-3444
(513) 245-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.087962
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35.087962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2685518
—
OH
05
—
64129653
—
KY
01
—
P00338992
RAIL ROAD MEDICARE
OH
Enumeration date
07/27/2006
Last updated
12/26/2007
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