Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D26585 | MD |
Y | 2086X0206X | Surgical Oncologist | D26585 | MD |
NPI | 1306958749 |
---|---|
Provider Name | Dr. Richard M Hirata |
First Address | Boston, MA 02241-8953 |
Second Address | Baltimore, MD 21204-6831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 01/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
309611400 | (05) | MD |
B66816 | (02) | |
KG72GB-41518201 | CAREFIRST MARYLAND (01) | MD |
KJ32GB-41518202 | CAREFIRST MARYLAND (01) | MD |
S143/0001 | CAREFIRST REGIONAL (01) | MD |