Provider Demographics
NPI:1255170049
Name:YOSHIDA, TAKESHI (MD, PHD)
Entity type:Individual
Prefix:MR
First Name:TAKESHI
Middle Name:
Last Name:YOSHIDA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OKAWASUJI 1 1 16
Mailing Address - Street 2:CHIKAMORI HOSPITAL
Mailing Address - City:KOCHI
Mailing Address - State:KOCHI
Mailing Address - Zip Code:7808522
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5200 EASTERN AVE
Practice Address - Street 2:MASON F. LORD BUILDING, CTR. TOWER SUITE 4500
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-6962
Practice Address - Fax:410-550-6255
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program