Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 34271 | KY |
Y | 207VE0102X | Reproductive Endocrinologist | G50959 | CA |
NPI | 1518983287 |
---|---|
Provider Name | Steven T. Nakajima |
First Address | Louisville, KY 40202-1622 |
Second Address | Louisville, KY 40202-5700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 23/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000045431 | ANTHEM PSC (01) | KY |
000000047618 | ANTHEM FOUNDATION (01) | KY |
1071901 | PASSPORT SPECIALITY FOUNDATION (01) | KY |
1073353 | PASSPORT PCP FOUNDATION (01) | KY |
1073354 | PASSPORT SPECIALITY PCS (01) | KY |
200182690 | (05) | IN |
64342710 | (05) | KY |
B85798 | (02) | KY |