Healthcare Provider Details

I. General information

NPI: 1467588228
Provider Name (Legal Business Name): HAYAO HUNTER ARAKAWA D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 FRESNO ST N
FRESNO CA
93720
US

IV. Provider business mailing address

705 E MAGILL AVE
FRESNO CA
93710-3943
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-4032
  • Fax:
Mailing address:
  • Phone: 559-431-7746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE01291
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: