Provider Demographics
NPI:1043300080
Name:SAWA, TOMOHIRO (MD, PHD)
Entity Type:Individual
Prefix:
First Name:TOMOHIRO
Middle Name:
Last Name:SAWA
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 1:2-11-1 KAGA
Mailing Address - Street 2:TEIKYO UNIVERSITY HOSPITAL
Mailing Address - City:ITABASHI-KU
Mailing Address - State:TOKYO
Mailing Address - Zip Code:1738605
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TEIKYO UNIVERSITY HOSPITAL
Practice Address - Street 2:2-11-1 KAGA
Practice Address - City:ITABASHI-KU
Practice Address - State:TOKYO
Practice Address - Zip Code:1738605
Practice Address - Country:JP
Practice Address - Phone:8133-964-9436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203178207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology