MEDICARE: MS. KARI ANN FUJITA 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
1	207R00000X	Internal Medicine Physician	0116023569	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207V00000X	Obstetrics & Gynecology Physician	148777	CA

General Provider Information

NPI Number	:	1033409149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARI ANN FUJITA M.D.

Provider Business Mailing Address
First Line	:	2725 39TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-1244
Country	:	US
Telephone Number	:	202-445-9666
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 39TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-1244
Country	:	US
Telephone Number	:	202-445-9666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2011
Last Update Date	:	10/28/2021

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