Mukai, Shizuo

Mukai, Shizuo is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mukai, Shizuo can be contacted via phone (617) 573-5050.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 51294 Massachusetts

Profile Details

NPI number 1164412250
LBN Legal business name Mukai, Shizuo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Oct 25th, 2013 - about 13 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 1164412250 NPPES
Massachusetts MEDICAID 3047962

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