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General NPI Number Information
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NPI Number | 1508273665
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Entity Type | Individual
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Provider Name | MASASHI KAWABORI MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE L304
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City | LEXINGTON
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State | KY
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Zip | 40536-1552
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Country | US
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Telephone | 859-323-6494
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Fax | 859-257-2573
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Provider Business Mailing Address
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Address Line | 33 POND AVE #504
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City | BROOKLINE
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State | MA
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Zip | 02445-7163
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Country | US
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Telephone | 617-784-6480
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | FL076
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 272964
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License Number State | MA
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