MEDICARE: DR. KEN UCHINO 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
1	174400000X	Specialist	MD422334	PA
2	2084N0400X	Neurology Physician	35.093750	OH
3	2084V0102X	Vascular Neurology Physician	ME123207	FL
4	2084V0102X	Vascular Neurology Physician	MD422334	PA
5	2084V0102X	Vascular Neurology Physician	35.093750	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164498747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEN UCHINO MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-4073
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-4073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	11/28/2022

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Directions to “ DR. KEN UCHINO MD” Practice Location

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