Provider Demographics
NPI:1720359862
Name:TOYOHARA, HIROSHI
Entity Type:Individual
Prefix:
First Name:HIROSHI
Middle Name:
Last Name:TOYOHARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CRESTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5920
Mailing Address - Country:US
Mailing Address - Phone:865-558-1421
Mailing Address - Fax:866-218-9914
Practice Address - Street 1:210 CRESTRIDGE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5920
Practice Address - Country:US
Practice Address - Phone:865-558-1421
Practice Address - Fax:866-218-9914
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD9293208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)