Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 35-129340 | OH |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD00041135 | WA |
NPI | 1235211392 |
---|---|
Provider Name | Dr. Mari Hashitate Dallas |
First Address | Highland Hills, OH 44122-7251 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 13/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8436750 | (05) | WA |
I38997 | (02) | |
MD0000044693 | TENNESSEE MEDICAL LICENSE (01) | TN |