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1386053437 NPI number — ISSEI KOMATSU M.D.

NPI Number: 1386053437
Health Care Provider/Practitioner: ISSEI KOMATSU M.D.

Information about “1386053437” NPI (ISSEI KOMATSU M.D.) exists in 1386053437 in HTML format HTML  |  1386053437 in plain Text format TXT  |  1386053437 in PDF (Portable Document Format) PDF  |  1386053437 in an XML format XML  formats.

NPI Number : 1386053437 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386053437",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOMATSU",
    "FirstName": "ISSEI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 HOT METAL ST",
    "SecondLineMailingAddress": "QUANTUM ONE, SUITE 001",
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15203-2348",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-432-5869",
    "MailingAddressFaxNumber": "412-432-5640",
    "FirstLinePracticeLocationAddress": "9104 BABCOCK BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 5113",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15237-5818",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-748-7444",
    "PracticeLocationAddressFaxNumber": "412-748-7452",
    "EnumerationDate": "08/02/2014",
    "LastUpdateDate": "08/19/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "MD61134797",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": "MD451574",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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