Provider Demographics
NPI:1093163388
Name:SPECIALIZED SURGEONS, INC.
Entity Type:Organization
Organization Name:SPECIALIZED SURGEONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-437-6576
Mailing Address - Street 1:3141 STEVENS CREEK BLVD
Mailing Address - Street 2:#351
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1141
Mailing Address - Country:US
Mailing Address - Phone:669-284-8181
Mailing Address - Fax:669-284-8182
Practice Address - Street 1:825 POLLARD RD
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1435
Practice Address - Country:US
Practice Address - Phone:669-284-8181
Practice Address - Fax:669-284-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty