Provider Demographics
NPI:1326200346
Name:OKADA, HARUKO (MD)
Entity Type:Individual
Prefix:DR
First Name:HARUKO
Middle Name:
Last Name:OKADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 STONEHENGE PARKWAY STE A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-956-5757
Mailing Address - Fax:614-956-5759
Practice Address - Street 1:400 STONEHENGE PARKWAY STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-956-5757
Practice Address - Fax:614-956-5759
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1263922082S0105X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0143075Medicaid
H458810Medicare PIN