1326211244 NPI number — RAYMOND SEKIGUCHI M.D., P.C.

Table of content: (NPI 1326211244)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326211244 NPI number — RAYMOND SEKIGUCHI M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAYMOND SEKIGUCHI M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326211244
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
49 LAKE AVENUE
Provider Second Line Business Mailing Address:
SUITE LL4
Provider Business Mailing Address City Name:
GREENWICH
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06830
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-552-9037
Provider Business Mailing Address Fax Number:
203-552-9048

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
49 LAKE AVENUE
Provider Second Line Business Practice Location Address:
SUITE LL4
Provider Business Practice Location Address City Name:
GREENWICH
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-552-9037
Provider Business Practice Location Address Fax Number:
203-552-9048
Provider Enumeration Date:
04/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SEKIGUCHI
Authorized Official First Name:
MANAMI
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT/SECRETARY
Authorized Official Telephone Number:
203-552-9037

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P512831 . This is a "OXFORD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 086934 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 010035655CT01 . This is a "ANTHEM" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 220195293 . This is a "GUARDIAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 22019529300 . This is a "OHIO BWC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 584648 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 021058 . This is a "HEALTHNET" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 035665 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com