Provider Demographics
NPI:1578883948
Name:KAMO, NORIFUMI (MD)
Entity Type:Individual
Prefix:
First Name:NORIFUMI
Middle Name:
Last Name:KAMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NORRIS
Other - Middle Name:
Other - Last Name:KAMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:MS: M4-PFS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-583-2299
Practice Address - Fax:206-223-6395
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-243915207R00000X
WAMD60343851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8922659Medicare PIN
WAG8922660Medicare PIN
WAG8922657Medicare PIN