Provider Demographics
NPI:1316630379
Name:MASUDA, KAIHEI (MD)
Entity type:Individual
Prefix:
First Name:KAIHEI
Middle Name:
Last Name:MASUDA
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 1:301 UNIVERSITY BLVD.
Mailing Address - Street 2:JOHN SEALY ANNEX, ROOM 4.108
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0570
Mailing Address - Country:US
Mailing Address - Phone:409-772-2653
Mailing Address - Fax:409-772-5462
Practice Address - Street 1:301 UNIVERSITY BLVD.
Practice Address - Street 2:JOHN SEALY ANNEX, ROOM 4.108
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0570
Practice Address - Country:US
Practice Address - Phone:409-772-2653
Practice Address - Fax:409-772-5462
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program