Provider Demographics
NPI:1154589885
Name:HOPPO, TOSHITAKA (MD PHD)
Entity type:Individual
Prefix:
First Name:TOSHITAKA
Middle Name:
Last Name:HOPPO
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 GALLERY DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2690
Mailing Address - Country:US
Mailing Address - Phone:412-267-6290
Mailing Address - Fax:412-267-6291
Practice Address - Street 1:138 GALLERY DR
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2690
Practice Address - Country:US
Practice Address - Phone:412-267-6290
Practice Address - Fax:412-267-6291
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433648208G00000X
NJ25MA12025400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2941320Medicaid
PA102166135-0002Medicaid
PA102166135-0002Medicaid
PA242261Medicare PIN