KOICHI MAEDA M.D. NPI 1003964719

NPI Information

  • NPI: 1003964719
  • Provider Name: KOICHI MAEDA, M.D.
  • Classification: Pathology - 207ZH0000X
  • Specialization: Hematology
  • Entity Type: Individual
  • Address: 2799 W GRAND BLVD
    2799 WEST GRAND BOULEVARD
    DETROIT, MI
    ZIP 48202
  • Phone: (313) 916-2436

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NPI Details

Koichi Maeda, M.D. is a hematology pathology in Detroit, MI. The provider is a hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. Koichi Maeda, M.D. NPI is 1003964719. 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:

2799 W GRAND BLVD
2799 WEST GRAND BOULEVARD
DETROIT, MI
ZIP 48202-608
Phone: (313) 916-2436

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/11/2025.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology034888MICHIGANNo
2207ZH0000XPathologyHematology034888MICHIGANYes

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 Other Provider Identifier Issuer
1KM034888OTHERCHAMPUS-CHAMPUS
2KM034888OTHERCOMMERCIAL-COMMERCIAL NUMBER

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: 11/21/2025

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