Provider Demographics
NPI:1518255454
Name:UCHIYAMA, MERRY E (MD)
Entity Type:Individual
Prefix:DR
First Name:MERRY
Middle Name:E
Last Name:UCHIYAMA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1320 EL CAPITAN DR STE 120
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6260
Mailing Address - Country:US
Mailing Address - Phone:925-676-2600
Mailing Address - Fax:925-680-0212
Practice Address - Street 1:1320 EL CAPITAN DR STE 120
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526
Practice Address - Country:US
Practice Address - Phone:925-676-2600
Practice Address - Fax:925-680-0212
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2018-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA137205208G00000X
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)