Provider Demographics
NPI:1275515371
Name:TOKUNO, HAJIME ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:HAJIME
Middle Name:ARTHUR
Last Name:TOKUNO
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 1:950 CAMPBELL AVE
Mailing Address - Street 2:VA CONNECTICUT HEALTHCARE SERVICES
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516
Mailing Address - Country:US
Mailing Address - Phone:203-937-4724
Mailing Address - Fax:203-937-3464
Practice Address - Street 1:950 CAMPBELL AVE
Practice Address - Street 2:DEPT. NEUROLOGY 127, VA CONNECTICUT HEALTHCARE
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2770
Practice Address - Country:US
Practice Address - Phone:203-937-4724
Practice Address - Fax:203-937-3464
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0354842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT130000476Medicare ID - Type Unspecified
G44838Medicare UPIN
CT001354844Medicaid