DR. SHINICHI STEVE YASUZAWA M.D. NPI 1720125602

NPI Information

NPI: 1720125602
Provider Name: DR. SHINICHI STEVE YASUZAWA, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1421 S POTOMAC ST STE 220
AURORA, CO
ZIP 80012
Phone: (303) 696-0707
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DR. Shinichi Steve Yasuzawa, M.D. is a specialist in Aurora, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Shinichi Steve Yasuzawa, M.D. NPI is 1720125602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1421 S POTOMAC ST STE 220
AURORA, CO
ZIP 80012-512
Phone: (303) 696-0707
Fax: (303) 696-0708

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		17652	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D23319	MEDICARE UPIN	COLORADO
2	CC2508	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
3	01176528	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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