Provider Demographics
NPI:1134652753
Name:KIHIRA, SHINGO (MD)
Entity Type:Individual
Prefix:DR
First Name:SHINGO
Middle Name:
Last Name:KIHIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 W 38TH ST APT 32G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6360
Mailing Address - Country:US
Mailing Address - Phone:650-766-3539
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:020-368-8243
Practice Address - Fax:203-688-9258
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT764912085R0202X
CAA1757982085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology