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NPI Code Detail

MEDICARE: CRISTIANE MAYUMI UENO MD

MEDICARE: CRISTIANE MAYUMI UENO 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
1208200000XPlastic Surgery Physician35144055OH
2208200000XPlastic Surgery Physician01070412AIN

Other Identifiers

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

General Provider Information

NPI Number : 1164603049
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTIANE MAYUMI UENO MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 N SENATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1228
Country : US
Telephone Number : 317-944-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 02/16/2026

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Directions to “ CRISTIANE MAYUMI UENO MD” Practice Location

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