Provider Demographics
NPI:1699843946
Name:SAKAMOTO, FREDERICK AKIRA (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:AKIRA
Last Name:SAKAMOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4770 EAST ILIFF AVENUE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:303-758-1480
Mailing Address - Fax:303-771-4514
Practice Address - Street 1:4770 EAST ILIFF AVENUE
Practice Address - Street 2:SUITE 113
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:303-758-1480
Practice Address - Fax:303-771-4514
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO206572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry