1861958688 NPI number — HIROYUKI ASAKURA MD

Table of content: HIROYUKI ASAKURA MD (NPI 1861958688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861958688 NPI number — HIROYUKI ASAKURA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASAKURA
Provider First Name:
HIROYUKI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1861958688
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1-7-5F KAMIYAMA-CHO
Provider Second Line Business Mailing Address:
KITA-KU
Provider Business Mailing Address City Name:
OSAKA
Provider Business Mailing Address State Name:
OSAKA
Provider Business Mailing Address Postal Code:
5300026
Provider Business Mailing Address Country Code:
JP
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1-7-5F KAMIYAMA-CHO
Provider Second Line Business Practice Location Address:
KITA-KU
Provider Business Practice Location Address City Name:
OSAKA
Provider Business Practice Location Address State Name:
OSAKA
Provider Business Practice Location Address Postal Code:
5300026
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
66-311-2511
Provider Business Practice Location Address Fax Number:
66-311-2531
Provider Enumeration Date:
02/17/2019

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: 207VE0102X , with the licence number:  A52282 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 300761 . This is a "JAPAN MEDIAL LICENSE" identifier . This identifiers is of the category "OTHER".




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