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Dr. Kevin Takao Kodama, MD
Gastroenterology Physician in Fresno, California
NPI 1750395828

Kevin Takao Kodama is a Gastroenterology Physician based in Fresno, CA and is specialized in Gastroenterology. Kevin Takao Kodama practices in Fresno, CA and has the professional credentials of MD. The NPI Number for Kevin Takao Kodama is 1750395828 and holds a License No. G78832 (California).

The current practice location address for Kevin Takao Kodama is 1187 E Herndon Ave Ste 101, Fresno, CA and can be reached out via phone at 559-440-0450 and via fax at 559-440-0461.

Location: 1187 E Herndon Ave Ste 101, Fresno, CA, 93720-3166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750395828
Provider Name
Kevin Takao Kodama
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1187 E Herndon Ave Ste 101, Fresno, CA, 93720-3166
Phone Number
559-440-0450
Fax Number
559-440-0461
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100014017 01 MEDICARE RAILROAD
00G788320 01 BLUE SHIELD
00G788320 05 CA
00G788320 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1187 E Herndon Ave Ste 101
City
Fresno
State
California
Zip
93720-3166
Phone Number
559-440-0450
Fax Number
559-440-0461
person
Provider Business Mailing Address Details
Address
1187 E Herndon Ave Ste 101
City
Fresno
State
California
Zip
93720-3166
Phone Number
559-440-0450
Fax Number
559-440-0461
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
G78832 (California)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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