Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 80120 | GA |
Y | 2080P0208X | Pediatric Infectious Diseases | 80120 | GA |
NPI | 1346621810 |
---|---|
Provider Name | Satoshi Kamidani |
First Address | Atlanta, GA 30322 |
Second Address | Atlanta, GA 30322-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2015 |
Last Update Date | 03/08/2021 |