Izumi, Kosuke

Izumi, Kosuke is an individual health care provider with primary practice located at 3401 Civic Center Blvd Chca Genetics, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Izumi, Kosuke can be contacted via phone (215) 590-2920.

Contact Information

Primary practice address
3401 Civic Center Blvd Chca Genetics Philadelphia PA 19104-4319
Phone: (215) 590-2920
Fax: (215) 590-3298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD442257 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X U1686 Texas

Profile Details

NPI number 1699972182
LBN Legal business name Izumi, Kosuke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jun 27th, 2023 - about 2 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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