Yoichiro Shimada, PA
Physician Assistant, Surgical in Seattle, WA. Individual provider (NPI-1).
NPI number1962049577
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1962049577
- Entity type
- Individual (NPI-1)
- Name
- Yoichiro Shimada
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2019
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 61314260 | WA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002792 | GA | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 363A00000X | Physician Assistant | – | GA | |
| 363A00000X | Physician Assistant | 10413 | GA |
Practice location
1100 9th AveSeattle, WA 98101-2756
Phone 206-341-0060 · Fax 206-625-7245
Mailing address
Po Box 741515Los Angeles, CA 90074-1515
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