Provider Demographics
NPI:1003056300
Name:FUJIKI, MASATO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MASATO
Middle Name:
Last Name:FUJIKI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131-1 KAMEYACHO KOJINGUCHIDORI, VANTARISE 1-E
Mailing Address - Street 2:KAMIGYOKU
Mailing Address - City:KYOTO
Mailing Address - State:KYOTO
Mailing Address - Zip Code:6020854
Mailing Address - Country:JP
Mailing Address - Phone:8175-251-5532
Mailing Address - Fax:8175-223-6189
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-8007
Practice Address - Fax:216-444-9375
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099600208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery