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General NPI Number Information
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NPI Number | 1508500893
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Entity Type | Individual
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Provider Name | FUMIHIKO NAKAMURA MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2022
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 7201 W GRANDRIDGE BLVD
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City | KENNEWICK
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State | WA
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Zip | 99336-6709
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Country | US
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Telephone | 509-221-5520
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Fax | 509-221-5521
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Provider Business Mailing Address
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Address Line | 1452 S HANCOCK ST
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City | LOUISVILLE
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State | KY
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Zip | 40217-1160
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Country | US
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Telephone | 270-227-9705
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MDRE.ML.61689812
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License Number State | WA
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