Kenneth Imanaka MD

NPI 1013974567 - Anesthesiology - 207L00000X

NPI Details
NPI 1013974567
Gender Male
Enumeration Date 04/27/2006
Last Updated 08/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
600 COFFEE RD
MODESTO CA, 95355-4201, US
Phone (209) 524-1211
Fax
Business Location
600 COFFEE RD
MODESTO CA, 95355-4201, US
Phone (209) 524-1211
Fax
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number G50338
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According to our database, Kenneth Imanaka MD NPI is 1013974567, taxonomy code is 207L00000X and license number is G50338, license state is located at California. Kenneth Imanaka MD physically located at 600 Coffee Rd, Modesto CA, 95355-4201. NPI Number Kenneth Imanaka MD has the Individual type.

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1013974567 NPI number is provided on an as is basis without warranty of any kind. 1013974567 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Imanaka MD are for informational purposes only.