Individual
DR. TOMOHIRO OSHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3115
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01064175A
IN
207P00000X
Emergency Medicine Physician
11013268A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200145530
—
IN
Enumeration date
06/06/2007
Last updated
02/18/2014
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