Provider Demographics
NPI:1912968082
Name:SAKAI, HENRY SHUNJU (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:SHUNJU
Last Name:SAKAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18440 CROWNSGATE CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4417
Mailing Address - Country:US
Mailing Address - Phone:301-528-5004
Mailing Address - Fax:
Practice Address - Street 1:2401 BLUERIDGE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4517
Practice Address - Country:US
Practice Address - Phone:301-933-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0051640208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics