person
Glenn Takeshi Yamagata, MD
Vascular & Interventional Radiology Physician in Greensboro, North Carolina
NPI 1598718066

Glenn Takeshi Yamagata is a Vascular & Interventional Radiology Physician based in Charlotte, NC and is specialized in Vascular & Interventional Radiology. Glenn Takeshi Yamagata practices in Greensboro, NC and has the professional credentials of MD. The NPI Number for Glenn Takeshi Yamagata is 1598718066 and holds a License No. 9801565 (North Carolina).

The current practice location address for Glenn Takeshi Yamagata is 1331 N Elm St Ste 200, Greensboro, NC and can be reached out via phone at 336-274-9617 and via fax at 336-482-2177. You can also correspond with Glenn Takeshi Yamagata through the mailing address at PO BOX 63112, CHARLOTTE, NC - 28263-3112 (mailing address contact number: 336-274-9617).

Location: 1331 N Elm St Ste 200, Greensboro, NC, 28263-3112
person
Provider Profile Details
NPI Number
1598718066
Provider Name
Glenn Takeshi Yamagata
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1331 N Elm St Ste 200, Greensboro, NC, 28263-3112
Phone Number
336-274-9617
Fax Number
336-482-2177
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88975 01 NC MEDCOST
300100860 01 NC RAILROAD MEDICARE
1608046 01 NC UNITED HEALTHCARE
32127 01 NC PARTNERS
12189 01 NC BCBS
8912189 05 NC
institution
Provider Business Practice Location Address Details
Address
1331 N Elm St Ste 200
City
State
Zip
27401-6304
Phone Number
336-274-9617
Fax Number
336-482-2177
person
Provider Business Mailing Address Details
Address
Po Box 63112
City
State
Zip
28263-3112
Phone Number
336-274-9617
Fax Number
336-482-2177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
9801565 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
9801565 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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