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NPI Code Detail

MEDICARE: DR. HIDENOBU SHIGEMITSU M.D.

MEDICARE: DR. HIDENOBU SHIGEMITSU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician14661NV
2207RC0200XCritical Care Medicine (Internal Medicine) Physician14661NV

General Provider Information

NPI Number : 1033164009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HIDENOBU SHIGEMITSU M.D.
Provider Business Mailing Address
First Line : PO BOX 33269
Second Line :
City : PHOENIX
State : AZ
Zip : 85067-3269
Country : US
Telephone Number : 602-406-4786
Fax Number : 916-636-4358
Provider Business Practice Location Address
First Line : 3001 SAINT ROSE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3839
Country : US
Telephone Number : 702-616-5615
Fax Number : 702-616-5120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 10/06/2025

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