Individual
KATHARINE TSUKAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD468242
PA
2080P0214X
Pediatric Pulmonology Physician
Primary
12868437-1205
UT
2080P0214X
Pediatric Pulmonology Physician
MT217486
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
11/12/2025
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