Provider Demographics
NPI:1083467484
Name:ARIKAWA, KINJI (MBBS)
Entity Type:Individual
Prefix:MR
First Name:KINJI
Middle Name:
Last Name:ARIKAWA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KUINOSE 351
Mailing Address - Street 2:
Mailing Address - City:WAKAYAMA CITY
Mailing Address - State:PREFECTURE
Mailing Address - Zip Code:6410001
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1950 W. POLK STREET
Practice Address - Street 2:6TH FLOOR #142
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-864-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program