Mukuno, Dwight Hisayuki

Mukuno, Dwight Hisayuki is an individual health care provider with primary practice located at 6305 Coyle Ave , Carmichael CA 95608-0438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mukuno, Dwight Hisayuki can be contacted via phone (916) 961-6920.

Contact Information

Primary practice address
6305 Coyle Ave Carmichael CA 95608-0438
Phone: (916) 961-6920
Fax: (916) 966-5063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G40177 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G40177 California

Profile Details

NPI number 1790720019
LBN Legal business name Mukuno, Dwight Hisayuki
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 21st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790720019 NPPES
California Other 00G401770 MEDI-CAL
California Other P00176690 MEDI-CAL

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