Healthcare Provider Details

I. General information

NPI: 1326480575
Provider Name (Legal Business Name): MASASHI OKUBO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 12/30/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST MAGEE WOMENS HOSPITAL OF UPMC
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

3600 FORBES AVE SUITE 10028 FORBES TOWER
PITTSBURGH PA
15213-3410
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD458327
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: