Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 35.126392 | OH |
NPI | 1326200346 |
---|---|
Provider Name | Haruko Okada |
First Address | Dublin, OH 43016-4144 |
Second Address | Columbus, OH 43215-4354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0143075 | (05) | OH |