Fukuda, Kevin Akira

Fukuda, Kevin Akira is an individual health care provider with primary practice located at 1783 El Camino Real , Burlingame CA 94010-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fukuda, Kevin Akira can be contacted via phone (650) 696-5400.

Contact Information

Primary practice address
1783 El Camino Real Burlingame CA 94010-3205
Fax: (650) 696-5208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G81100 California

Profile Details

NPI number 1063449759
LBN Legal business name Fukuda, Kevin Akira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063449759 NPPES
California MEDICAID 00G811000

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