Provider Demographics
NPI:1235226374
Name:NAKATA, YOSHINORI (MD)
Entity Type:Individual
Prefix:
First Name:YOSHINORI
Middle Name:
Last Name:NAKATA
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 1:1108-1 CHIKURACHO-OKAWA
Mailing Address - Street 2:
Mailing Address - City:MINAMIBOSO, CHIBA
Mailing Address - State:JP
Mailing Address - Zip Code:2990111
Mailing Address - Country:JP
Mailing Address - Phone:814-366-2121
Mailing Address - Fax:
Practice Address - Street 1:TEIKYO UNIV. ICHIHARA HOSPITAL
Practice Address - Street 2:3426-3 ANESAKI
Practice Address - City:ICHIHARA, CHIBA
Practice Address - State:JP
Practice Address - Zip Code:2990111
Practice Address - Country:JP
Practice Address - Phone:814-366-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80014207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology