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NPI Code Detail

MEDICARE: SHINTARO AKIYOSHI

MEDICARE: SHINTARO AKIYOSHI
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1710361522
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHINTARO AKIYOSHI
Provider Business Mailing Address
First Line : 2-12-8 FUTSUKAICHI CHUO
Second Line :
City : CHIKUSHINO
State : FUKUOKA
Zip : 8180072
Country : JP
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 E DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-9398
Country : US
Telephone Number : 702-858-4467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2015
Last Update Date : 07/13/2015

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Directions to “ SHINTARO AKIYOSHI ” Practice Location

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