Provider Demographics
NPI:1093924029
Name:UEZATO, AKIHITO (MD)
Entity Type:Individual
Prefix:
First Name:AKIHITO
Middle Name:
Last Name:UEZATO
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 1:1 5 45 YUSHIMA
Mailing Address - Street 2:TOKYO MEDICAL AND DENTAL UNIVERSITY, PSYCHIATRY
Mailing Address - City:BUNKYO KU
Mailing Address - State:TOKYO
Mailing Address - Zip Code:113 8510
Mailing Address - Country:JP
Mailing Address - Phone:033-813-6111
Mailing Address - Fax:
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-5038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL283062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry