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NPI Code Detail

MEDICARE: DR. DANA M KAGEYAMA MD

MEDICARE: DR. DANA M KAGEYAMA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25676AZ

General Provider Information

NPI Number : 1629034566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA M KAGEYAMA MD
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 615-315-5257
Fax Number : 615-692-0547
Provider Business Practice Location Address
First Line : 1740 E FORT LOWELL ROAD
Second Line : SUITE 100
City : TUCSON
State : AZ
Zip : 85719-2384
Country : US
Telephone Number : 520-613-0001
Fax Number : 520-613-0003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 07/03/2023

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Directions to “ DR. DANA M KAGEYAMA MD” Practice Location

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