Provider Demographics
NPI:1669659595
Name:KAWASAKI, AMIE (MD)
Entity type:Individual
Prefix:DR
First Name:AMIE
Middle Name:
Last Name:KAWASAKI
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 1:5324 MCFARLAND RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6865
Mailing Address - Country:US
Mailing Address - Phone:919-401-1000
Mailing Address - Fax:919-401-1033
Practice Address - Street 1:5324 MCFARLAND RD
Practice Address - Street 2:SUITE 310
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6865
Practice Address - Country:US
Practice Address - Phone:919-401-1000
Practice Address - Fax:919-401-1033
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001344207V00000X
FLME104775207VF0040X
NC2009-00141207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology