1467455279 NPI number — DR. NOBUKO HIJIYA MD

Table of content: DR. NOBUKO HIJIYA MD (NPI 1467455279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467455279 NPI number — DR. NOBUKO HIJIYA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HIJIYA
Provider First Name:
NOBUKO
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1467455279
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
04/03/2006
NPI Reactivation Date:
04/04/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
COLUMBIA UNIVERSITY MEDICAL CENTER
Provider Second Line Business Mailing Address:
161 FORT WASHINGTON, HIP7
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-305-9770
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ST. JUDE CHILDREN'S RESEARCH HOSPITAL
Provider Second Line Business Practice Location Address:
332 N LAUDERDALE ST., MS 0515
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38105-2794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-495-3006
Provider Business Practice Location Address Fax Number:
901-495-3842
Provider Enumeration Date:
05/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0207X , with the licence number:  208069 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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