Ogasawara, Keith K.

Ogasawara, Keith K. is an individual health care provider with primary practice located at 3200 Channing Way Ste A102 , Idaho Falls ID 83404-7561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Ogasawara, Keith K. can be contacted via phone (208) 528-2925.

Contact Information

Primary practice address
3200 Channing Way Ste A102 Idaho Falls ID 83404-7561
Phone: (208) 528-2925
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD-7527 Hawaii
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X M-16831 Idaho

Profile Details

NPI number 1336240449
LBN Legal business name Ogasawara, Keith K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 6th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336240449 NPPES
Hawaii MEDICAID 078671-02
Hawaii Other 00C0207468

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