Healthcare Provider Details

I. General information

NPI: 1982731865
Provider Name (Legal Business Name): HAJIME KOJIMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 CENTRE AVE
PITTSBURGH PA
15232
US

IV. Provider business mailing address

54 OAKHURST CIR
PITTSBURGH PA
15215-1659
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-2287
  • Fax: 412-623-6629
Mailing address:
  • Phone: 412-781-1617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD430153
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: