Individual
MAYUKO IMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
(480) 478-8057
(480) 478-8091
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(480) 478-8057
(480) 478-8091
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
A85640
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
72735
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A85640
CA
Other
Enumeration date
03/31/2011
Last updated
05/06/2024
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