Individual
YAYA KISHIYAMA SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6501 E GREENWAY PKWY, SUITE 160, SCOTTSDALE, AZ 85254-2065
(480) 948-9903
(480) 998-5887
Mailing address
6501 E GREENWAY PKWY, SUITE 160, SCOTTSDALE, AZ 85254-2065
(480) 948-9903
(480) 998-5887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35915
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0921700
BCBS PROVIDER NUMBER
AZ
Enumeration date
08/31/2006
Last updated
07/09/2007
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