Basic Information
| Provider Information | |||||||||
| NPI: | 1093924029 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | UEZATO | ||||||||
| FirstName: | AKIHITO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 5 45 YUSHIMA | ||||||||
| Address2: | TOKYO MEDICAL AND DENTAL UNIVERSITY, PSYCHIATRY | ||||||||
| City: | BUNKYO KU | ||||||||
| State: | TOKYO | ||||||||
| PostalCode: | 113 8510 | ||||||||
| CountryCode: | JP | ||||||||
| TelephoneNumber: | 0338136111 | ||||||||
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| Practice Location | |||||||||
| Address1: | 619 19TH ST S | ||||||||
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| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352491900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059345038 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 08/29/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 28306 | AL | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.