| Kyle Takeshi Yamamoto, MD | |
|
3614 Lakeside Dr Ste 100, Reno, NV 89509-5285 | |
| (775) 525-1712 | |
| Not Available |
| Full Name | Kyle Takeshi Yamamoto |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
| Location | 3614 Lakeside Dr Ste 100, Reno, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568698439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 15693 (Nevada) | Primary |
| Entity Name | Kyle T Yamamoto Md Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578941563 PECOS PAC ID: 6002122660 Enrollment ID: O20150828000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Takeshi Yamamoto, MD 3614 Lakeside Dr Ste 100, Reno, NV 89509-5285 Ph: (775) 525-1712 | Kyle Takeshi Yamamoto, MD 3614 Lakeside Dr Ste 100, Reno, NV 89509-5285 Ph: (775) 525-1712 |
Paul C Ludlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way Ste 509, Reno, NV 89502 Phone: 775-324-3800 | |
Jeffrey K Beall, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 75 Pringle Way, Suite 509, Reno, NV 89502 Phone: 775-358-4007 Fax: 775-358-4405 | |
Ralph Coppola, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-328-1242 | |
Dr. Joshua Carson Meier, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9770 S Mccarran Blvd, Reno, NV 89523 Phone: 775-322-4589 | |
Mr. David Lewis Mathis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9770 S Mccarran Blvd, Reno, NV 89523 Phone: 775-322-4589 Fax: 775-322-3787 | |
Jeremy David Lough, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 Ryland St, Reno, NV 89502 Phone: 775-323-2157 Fax: 775-323-0749 | |
Mr. John Edward Dooley, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9770 S Mccarran Blvd, Reno, NV 89523 Phone: 775-322-4589 Fax: 775-322-3787 |