Kodama, Atsuko
Kodama, Atsuko is an individual health care provider with primary practice located at 361 Highland Ave Ste 204 , Jenkintown PA 19046-2632. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Kodama, Atsuko can be contacted via phone (267) 538-5045.Contact Information
Primary practice address
361 Highland Ave Ste 204
Jenkintown PA 19046-2632
Phone: (267) 538-5045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | N7443 | Texas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD440883 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD440883 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD440883 | Pennsylvania |
Profile Details
| NPI number | 1699976340 |
|---|---|
| LBN Legal business name | Kodama, Atsuko |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | May 17th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699976340 | NPPES |
| Other | BP2-0029752 | INSTITUTIONAL PERMIT |
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