Provider Demographics
NPI:1962509653
Name:NISHIDA, KAREN J (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:NISHIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1290 SUMMER ST STE 5200
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5339
Mailing Address - Country:US
Mailing Address - Phone:203-998-0848
Mailing Address - Fax:203-323-0566
Practice Address - Street 1:1290 SUMMER ST STE 5200
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5339
Practice Address - Country:US
Practice Address - Phone:203-998-0848
Practice Address - Fax:203-323-0566
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2015-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT052404207VX0201X
TX41523207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology