Provider Demographics
NPI:1376634543
Name:IMAI, YUMI (MD)
Entity Type:Individual
Prefix:DR
First Name:YUMI
Middle Name:
Last Name:IMAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-353-7812
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-353-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244744207RE0101X
IA43521207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA366009OtherANTHEM
NC5910882Medicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherFIRST HEALTH COMMERICAL/SOUTHERN HEALTH/COVENTRY
VA-033OtherTRICARE/CHAMPUS
VA1376634543Medicaid
VAPAROtherVIRGINIA HEALTH NETWORK
VA2200071OtherUNITED HEALTH CARE/MAMSI
VAPAROtherUSA MANAGED CARE
VAPAROtherAETNA
VA10042634OtherSENTARA/OPTIMA HEALTH
NC10882OtherBC/BS
VAPAROtherMULTIPLAN
VAPAROtherCIGNA
VAPAROtherVA PREMIER HEALTH
VAPAROtherFIRST HEALTH COMMERICAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherUSA MANAGED CARE