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Individual

MIGUEL TSUKAYAMA ODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 270-0195
(785) 368-0467
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 270-0195
(785) 368-0467

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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