Provider Demographics
NPI:1306739362
Name:UEDA, GORO (MD)
Entity type:Individual
Prefix:
First Name:GORO
Middle Name:
Last Name:UEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-12-3 FUJIMIDAI CHIKUSA-KU
Mailing Address - Street 2:
Mailing Address - City:NAGOYA
Mailing Address - State:AICHI
Mailing Address - Zip Code:4640015
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4023 BURNETT-WOMACK BUILDING CAMPUS BOX 7211
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program