Individual provider · NPI-1

Simon K. Ashiku Jr., MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Oakland, CA

NPI number1144302993
StatusActive
Last updated in NPPESDec 9, 2021

Details

NPI
1144302993
Entity type
Individual (NPI-1)
Name
Mr. Simon K. Ashiku Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2006
Last updated
Dec 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)G87964CAYes
208600000X SurgeryG87964CA

Practice location

275 W Macarthur Blvd
Oakland, CA 94611-5641

Phone 510-752-1000

Mailing address

275 W Macarthur Blvd
Oakland, CA 94611-5641

Phone 510-752-1000

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