Healthcare Provider Details

I. General information

NPI: 1730151655
Provider Name (Legal Business Name): THOMAS T AOKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V ST
SACRAMENTO CA
95817-1460
US

IV. Provider business mailing address

1021 EL SUR WAY
SACRAMENTO CA
95864-5268
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3730
  • Fax: 916-734-7953
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG016656
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: