Provider Demographics
NPI:1558559773
Name:SAIGO, TOSHIFUMI J (DPM)
Entity Type:Individual
Prefix:DR
First Name:TOSHIFUMI
Middle Name:J
Last Name:SAIGO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14575 BEL RED RD # C102
Mailing Address - Street 2:
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:206-527-0147
Practice Address - Street 1:14575 BEL RED RD # C102
Practice Address - Street 2:
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:206-527-0147
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP00000157213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1760800Medicaid
WA911346964OtherTAX ID
WASA1355OtherBLUE CROSS
WASA1355OtherBLUE CROSS
WA1760800Medicaid
WAG000104674Medicare PIN