Provider Demographics
NPI:1467550756
Name:MINOSHIMA, SATOSHI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SATOSHI
Middle Name:
Last Name:MINOSHIMA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:RR215, BOX 357115
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7115
Mailing Address - Country:US
Mailing Address - Phone:206-543-3320
Mailing Address - Fax:206-543-6317
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:RR215, BOX 357115
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7115
Practice Address - Country:US
Practice Address - Phone:206-543-3320
Practice Address - Fax:206-543-6317
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000392162085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG01555Medicare ID - Type Unspecified