Individual
LUIS CARLOS WATANABE TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4760 E GALBRAITH RD STE 206, CINCINNATI, OH 45236-6704
(513) 791-4490
(513) 791-7287
Mailing address
4760 E GALBRAITH RD STE 206, CINCINNATI, OH 45236-6704
(513) 791-4490
(513) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.149489
OH
207R00000X
Internal Medicine Physician
4301101057
MI
207RP1001X
Pulmonary Disease Physician
036138396
IL
207RP1001X
Pulmonary Disease Physician
51618
KY
Other
Enumeration date
07/08/2012
Last updated
12/14/2023
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