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Atsuko Kodama

Dermatologist Dermatopathologist MOHS-Micrographic Surgeon

8400 Roosevelt Blvd Suite 200
Philadelphia , Pennsylvania 19152-2081

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Atsuko Kodama

Dermatologist Dermatopathologist MOHS-Micrographic Surgeon

8400 Roosevelt Blvd Suite 200
Philadelphia , Pennsylvania 19152-2081

(267) 538-5045

Write a Review Save Call

Atsuko Kodama

Dermatologist Dermatopathologist MOHS-Micrographic Surgeon

8400 Roosevelt Blvd Suite 200
Philadelphia , Pennsylvania 19152-2081

(267) 538-5045 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist
  • MOHS-Micrographic Surgeon
  • Dermatopathologist

Languages spoken

  • English

Location

8400 Roosevelt Blvd Suite 200 Philadelphia , Pennsylvania 19152-2081

First Address

  • Atsuko Kodama
  • 8400 Roosevelt Blvd Suite 200
  • Philadelphia, PA
  • Zip : 19152-2081
  • Phone : (267) 538-5045

Second Address

  • Atsuko Kodama
  • 8400 Roosevelt Blvd Suite 200
  • Philadelphia, PA
  • Zip : 19152-2081
  • Fax : (267) 538-2153
  • Phone : (267) 538-5045

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FAQs


Where did Atsuko Kodama attend graduate school?

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Where did Atsuko Kodama do her residency?

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Where did Atsuko Kodama do her fellowship?

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Is Atsuko Kodama board certified?

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What type of doctor is Atsuko Kodama

Dermatologist

In what state does Atsuko Kodama practice in?

Pennsylvania

Where is Atsuko Kodama ’s practice located?

8400 Roosevelt Blvd Suite 200 , Philadelphia, Pennsylvania, 19152-2081

What is Atsuko Kodama ’s gender?

Female

Is Atsuko Kodama a sole practitioner?

No

Is Atsuko Kodama accepting new patients?

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What languages does Atsuko Kodama speak?

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Does Atsuko Kodama accept insurance?

Yes, Atsuko Kodama accepts insurance

Does Atsuko Kodama offers telemedicine?

Atsuko Kodama has not indicated if she offers telemedicine

What is Atsuko Kodama ’s professional license number?

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What is Atsuko Kodama ’s NPI number?

1699976340

Does Atsuko Kodama have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist MD440883 PA
N 207N00000X Dermatologist N7443 TX
N 207ND0101X MOHS-Micrographic Surgeon MD440883 PA
N 207ND0900X Dermatopathologist MD440883 PA

National Provider Identifier

NPI 1699976340
Provider Name Atsuko Kodama
First Address Philadelphia, PA 19152-2081
Second Address Philadelphia, PA 19152-2081
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/05/2007
Last Update Date 06/10/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
BP2-0029752 INSTITUTIONAL PERMIT (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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