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NPI Code Detail

MEDICARE: THOMAS T KUBOTA MD

MEDICARE: THOMAS T KUBOTA 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
1207RH0003XHematology & Oncology PhysicianMD016931TN

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 : 1962498444
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS T KUBOTA MD
Provider Business Mailing Address
First Line : 1915 WHITE AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-2300
Country : US
Telephone Number : 865-541-1720
Fax Number : 865-541-1747
Provider Business Practice Location Address
First Line : 1915 WHITE AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-2300
Country : US
Telephone Number : 865-541-1720
Fax Number : 865-541-2823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 02/16/2016

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Directions to “ THOMAS T KUBOTA MD” Practice Location

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