Provider Demographics
NPI:1104289552
Name:TSUSHIMA, YUMIKO (MD)
Entity type:Individual
Prefix:
First Name:YUMIKO
Middle Name:
Last Name:TSUSHIMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 ORANGE PL STE 3100
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4481
Mailing Address - Country:US
Mailing Address - Phone:216-286-8988
Mailing Address - Fax:216-201-4668
Practice Address - Street 1:3909 ORANGE PL STE 3100
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4481
Practice Address - Country:US
Practice Address - Phone:216-286-8988
Practice Address - Fax:216-201-4668
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35.135854207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program