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Individual

SHUTA ISHIGAMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6651 MAIN ST, HOUSTON, TX 77030-2351
(832) 822-1359
Mailing address
1850 OLD MAIN ST APT 2506, HOUSTON, TX 77030-2224
(713) 257-3346

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
48140
TX

Other

Enumeration date
10/13/2023
Last updated
03/01/2026
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