Provider Demographics
NPI:1912008822
Name:SAITO, COSWIN K (MD)
Entity Type:Individual
Prefix:DR
First Name:COSWIN
Middle Name:K
Last Name:SAITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9040 JACKSON AVE
Mailing Address - Street 2:ATTN: DR. COSWIN SAITO, WARRIOR TRANSITION CLINIC
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:98431
Mailing Address - Country:US
Mailing Address - Phone:253-968-4600
Mailing Address - Fax:
Practice Address - Street 1:9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER
Practice Address - Street 2:ATTN: DR. COSWIN SAITO, WARRIOR TRANSITION CLINIC
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-5929208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000093781OtherHMSA BILLING NUMBER
HI072148-01Medicaid
HI0000093781OtherHMSA BILLING NUMBER
HIF20047Medicare UPIN