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NPI Code Detail

MEDICARE: TISHA K FUJII DO

MEDICARE: TISHA K FUJII DO
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianCDRH.0041249CO

General Provider Information

NPI Number : 1720092596
Entity Type Code : Individual
Provider Name (Legal Business Name) : TISHA K FUJII DO
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 719-463-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1707 COLE BLVD STE 100
Second Line :
City : GOLDEN
State : CO
Zip : 80401-3219
Country : US
Telephone Number : 303-763-4900
Fax Number : 303-763-5495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 03/28/2025

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