Individual
DR. TIMOTHY KIYOSHI ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4401
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4401
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A139817
CA
208800000X
Urology Physician
MD448549
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2008
Last updated
10/06/2023
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