Provider Demographics
NPI:1477330454
Name:FUSE, YUMA (MD)
Entity type:Individual
Prefix:
First Name:YUMA
Middle Name:
Last Name:FUSE
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 1:3-8-31 ARIAKE
Mailing Address - Street 2:
Mailing Address - City:KOTO CITY
Mailing Address - State:TOKYO
Mailing Address - Zip Code:1358550
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3-8-31 ARIAKE
Practice Address - Street 2:
Practice Address - City:KOTO CITY
Practice Address - State:TOKYO
Practice Address - Zip Code:1358550
Practice Address - Country:JP
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351053424208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery