MEDICARE: DR. HIROSHI NAKAZAWA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	ACU021	MD
2	208600000X	Surgery Physician	D0007437	MD

General Provider Information

NPI Number	:	1023091048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIROSHI NAKAZAWA MD

Provider Business Mailing Address
First Line	:	700 GEIPE RD
Second Line	:	SUITE 204
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4176
Country	:	US
Telephone Number	:	410-744-8505
Fax Number	:	410-744-7173

Provider Business Practice Location Address
First Line	:	700 GEIPE RD
Second Line	:	SUITE 204
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4176
Country	:	US
Telephone Number	:	410-744-8505
Fax Number	:	410-744-7173

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	09/11/2025

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