Provider Demographics
NPI:1871631507
Name:HATANO, HIROYU (MD)
Entity Type:Individual
Prefix:DR
First Name:HIROYU
Middle Name:
Last Name:HATANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 MIDDLEFIELD RD STE C
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3000
Mailing Address - Country:US
Mailing Address - Phone:650-850-4111
Mailing Address - Fax:650-666-8219
Practice Address - Street 1:3200 MIDDLEFIELD RD STE C
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3000
Practice Address - Country:US
Practice Address - Phone:650-850-4111
Practice Address - Fax:650-666-8219
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87614207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine