Healthcare Provider Details
I. General information
NPI: 1780903773
Provider Name (Legal Business Name): HANNU TAPIO HUHDANPAA M.D., M.SC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2010
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
747 52ND ST
OAKLAND CA
94609-1809
US
IV. Provider business mailing address
19020 33RD AVE W STE 210
LYNNWOOD WA
98036-4748
US
V. Phone/Fax
- Phone: 510-428-3000
- Fax: 425-563-1401
- Phone: 425-563-1500
- Fax: 425-563-1374
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | A121766 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | MD60610582 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | MD60610582 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 4301501561 |
| License Number State | MI |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | A121766 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: