Individual provider · NPI-1
Yasuhide Mikami, RT
Radiologic Technologist, Radiography · Fresno, CA
NPI number1487023149
StatusActive
Last updated in NPPESSep 23, 2015
Details
- NPI
- 1487023149
- Entity type
- Individual (NPI-1)
- Name
- Yasuhide Mikami
- Credential
- RT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2015
- Last updated
- Sep 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3402X | Radiologic Technologist, Radiography | RHF00100816 | CA | Yes |
| 247100000X | Radiologic Technologist | RHF00100816 | CA |
Practice location
710 E Keats AveFresno, CA 93710-7022
Phone 559-224-1327
Mailing address
710 E Keats AveFresno, CA 93710-7022
Phone 559-224-1327
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.