Provider Demographics
NPI:1558505875
Name:KASAMA, YUKI (MD)
Entity Type:Individual
Prefix:DR
First Name:YUKI
Middle Name:
Last Name:KASAMA
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 1:7461 BLACKMON RD
Mailing Address - Street 2:APT. 4409
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-8400
Mailing Address - Country:US
Mailing Address - Phone:786-838-8269
Mailing Address - Fax:
Practice Address - Street 1:710 CENTER ST.
Practice Address - Street 2:SEPA @ COLUMBUS REGIONAL HEALTH
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901
Practice Address - Country:US
Practice Address - Phone:912-261-2669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA15-024207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology