Okazaki, Goroh

Okazaki, Goroh is an individual health care provider with primary practice located at 4190 E Woodmen Rd Ste 100 , Colorado Springs CO 80920-8075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Okazaki, Goroh can be contacted via phone (719) 722-2542.

Contact Information

Primary practice address
4190 E Woodmen Rd Ste 100 Colorado Springs CO 80920-8075
Phone: (719) 722-2542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 39317 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0067322 Colorado

Profile Details

NPI number 1578856217
LBN Legal business name Okazaki, Goroh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated Jan 19th, 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 1578856217 NPPES
South Carolina MEDICAID 393176

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