Provider Demographics
NPI:1467677906
Name:TOSHIFUMI J SAIGO DPM INC PS
Entity Type:Organization
Organization Name:TOSHIFUMI J SAIGO DPM INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOSHIFUMI
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAIGO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:425-455-3208
Mailing Address - Street 1:14575 BEL RED RD
Mailing Address - Street 2:#C102
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3908
Mailing Address - Country:US
Mailing Address - Phone:425-455-3208
Mailing Address - Fax:425-455-3377
Practice Address - Street 1:14575 BEL RED RD
Practice Address - Street 2:#C102
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3908
Practice Address - Country:US
Practice Address - Phone:425-455-3208
Practice Address - Fax:425-455-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO 00000157213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1760800Medicaid
WA480033821OtherRAILROAD MEDICARE
T01810Medicare UPIN
WAG000104674Medicare PIN
WA0277010001Medicare NSC