Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 49898 | CO |
N | 207RX0202X | Medical Oncology | 49898 | CO |
NPI | 1053520049 |
---|---|
Provider Name | Sonia Okuyama Sasaki |
First Address | Denver, CO 80204-4532 |
Second Address | Denver, CO 80204-4532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 06/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BP1-0026159 | INSTITUTIONAL PERMIT (01) |