Provider Demographics
NPI:1215448592
Name:TOYOSHIMA, HAJIME (MD)
Entity type:Individual
Prefix:
First Name:HAJIME
Middle Name:
Last Name:TOYOSHIMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHUO-KU, ROPPONMATSU 4-8-15
Mailing Address - Street 2:
Mailing Address - City:FUKUOKA CITY
Mailing Address - State:FUKUOKA
Mailing Address - Zip Code:8100044
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHUO-KU, ROPPONMATSU 4-8-15
Practice Address - Street 2:
Practice Address - City:FUKUOKA CITY
Practice Address - State:FUKUOKA
Practice Address - Zip Code:8100044
Practice Address - Country:JP
Practice Address - Phone:092-771-8858
Practice Address - Fax:092-771-8877
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62962207Q00000X
HIMD9691207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine