Individual
MIGUEL TSUKAYAMA ODA
Active
Individual
MIGUEL TSUKAYAMA ODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
04-35053
KS
207RP1001X
Pulmonary Disease Physician
Primary
04-35053
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002272
MEDICARE PTAN
KS
05
—
1801114202
—
KS
Enumeration date
05/10/2010
Last updated
12/01/2025
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