Maeda, Koichi

Maeda, Koichi is an individual health care provider with primary practice located at 2799 W Grand Blvd 2799 West Grand Boulevard, Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Maeda, Koichi can be contacted via phone (313) 916-2436.

Contact Information

Primary practice address
2799 W Grand Blvd 2799 West Grand Boulevard Detroit MI 48202-2608
Phone: (313) 916-2436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 034888 Michigan
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 034888 Michigan

Profile Details

NPI number 1003964719
LBN Legal business name Maeda, Koichi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
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 1003964719 NPPES
Other KM034888 CHAMPUS-CHAMPUS
Other KM034888 CHAMPUS-CHAMPUS

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