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NPI Code Detail

MEDICARE: DR. KATIA NAKAHODO D.O.

MEDICARE: DR. KATIA NAKAHODO D.O.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician5101014617MI
2207P00000XEmergency Medicine Physician5101014617MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111300992OTHERMICAQH

General Provider Information

NPI Number : 1811975097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATIA NAKAHODO D.O.
Provider Business Mailing Address
First Line : 1101 W UNIVERSITY DR
Second Line : EMERGENCY DEPT
City : ROCHESTER
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-652-5311
Fax Number :
Provider Business Practice Location Address
First Line : 1101 W UNIVERSITY DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-652-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 10/31/2023

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