Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A114281 | CA |
N | 111NI0900X | Internist | A114281 | CA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A114281 | CA |
Y | 207RC0000X | Internist - Cardiovascular Disease | A114281 | CA |
NPI | 1518263029 |
---|---|
Provider Name | Dr. Masataka Kawana |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 24/11/2021 |