Provider Demographics
NPI:1609138718
Name:SUGAI, DANIEL YOSHIO (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:YOSHIO
Last Name:SUGAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 112TH AVE NE
Mailing Address - Street 2:STE C187
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3749
Mailing Address - Country:US
Mailing Address - Phone:425-457-7900
Mailing Address - Fax:425-457-7499
Practice Address - Street 1:1200 112TH AVE NE STE C187
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3749
Practice Address - Country:US
Practice Address - Phone:425-457-7900
Practice Address - Fax:425-457-7499
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA252206207R00000X
WAMD.60631007207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine