Provider Demographics
NPI:1205866787
Name:HALL, YOSHIO NOGAMI (MD)
Entity Type:Individual
Prefix:MR
First Name:YOSHIO
Middle Name:NOGAMI
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:HARBORVIEW MEDICAL CENTER - UW MEDICINE/NEPHROLOGY
Mailing Address - Street 2:BOX 359606, 325 9TH AVE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-744-8998
Mailing Address - Fax:206-744-5087
Practice Address - Street 1:HARBORVIEW MEDICAL CENTER - UW MEDICINE/NEPHROLOGY
Practice Address - Street 2:325 9TH AVE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-744-8998
Practice Address - Fax:206-744-5087
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00048904207RN0300X
CAA74888207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A748880Medicaid
H71330Medicare UPIN
CA00A748881Medicare ID - Type Unspecified