Provider Demographics
NPI:1194921759
Name:TATSUMURA, YVONNE ORA (MD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:ORA
Last Name:TATSUMURA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1575 S BERETANIA ST
Mailing Address - Street 2:SUITE 201-202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1149
Mailing Address - Country:US
Mailing Address - Phone:808-946-1712
Mailing Address - Fax:808-946-1728
Practice Address - Street 1:1575 S BERETANIA ST
Practice Address - Street 2:SUITE 201-202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1149
Practice Address - Country:US
Practice Address - Phone:808-946-1712
Practice Address - Fax:808-946-1728
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2011-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-16042207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology