Provider Demographics
NPI:1407925159
Name:HAYASHIDA, DAVID NOBUO (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NOBUO
Last Name:HAYASHIDA
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 1:1595 QUINTARA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1273
Mailing Address - Country:US
Mailing Address - Phone:415-759-2919
Mailing Address - Fax:
Practice Address - Street 1:1595 QUINTARA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1273
Practice Address - Country:US
Practice Address - Phone:415-759-2919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG 062272208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics