Provider Demographics
NPI:1588183073
Name:NAKAGAWA, HIROSHI (MD, PHD)
Entity Type:Individual
Prefix:MR
First Name:HIROSHI
Middle Name:
Last Name:NAKAGAWA
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 1:1200 EVERETT DRIVE
Mailing Address - Street 2:TCH 6E103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5068
Mailing Address - Country:US
Mailing Address - Phone:405-271-9696
Mailing Address - Fax:405-271-7455
Practice Address - Street 1:1200 EVERETT DRIVE
Practice Address - Street 2:TCH 6E103
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5068
Practice Address - Country:US
Practice Address - Phone:405-271-9696
Practice Address - Fax:405-271-7455
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program