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NPI Code Detail

MEDICARE: DR. KEI NAKANISHI MD

MEDICARE: DR. KEI NAKANISHI 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
1207V00000XObstetrics & Gynecology PhysicianME76076FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285636811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEI NAKANISHI MD
Provider Business Mailing Address
First Line : 3114 CROASDAILE DRIVE
Second Line : SUITE 200
City : DURHAM
State : NC
Zip : 27705-2508
Country : US
Telephone Number : 919-425-1565
Fax Number : 919-425-0478
Provider Business Practice Location Address
First Line : 1600 S ANDREWS AVENUE
Second Line : PHOENIX OB/GYN, LLC
City : FORT LAUDERDALE
State : FL
Zip : 33316-2510
Country : US
Telephone Number : 954-355-5110
Fax Number : 954-355-4919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/15/2010

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