Individual
ALAN M KANESHIGE
Active
Individual
ALAN M KANESHIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19332
OK
207RC0000X
Cardiovascular Disease Physician
Primary
19332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219050A
—
OK
01
—
110104904
MEDICARE RAILROAD
OK
01
—
OK700118
MEDICARE PTAN
OK
01
—
P00611406
MEDICARE RAILROAD
OK
Enumeration date
01/24/2006
Last updated
03/14/2014
Update your record
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