Shibuya, Peter Kaoru

Shibuya, Peter Kaoru is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Shibuya, Peter Kaoru can be contacted via phone (202) 476-5000.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2916
Phone: (202) 476-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 65724 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024124961 Virginia

Profile Details

NPI number 1598829772
LBN Legal business name Shibuya, Peter Kaoru
Credentials MSN CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Feb 8th, 2011 - about 15 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 1598829772 NPPES
District of Columbia MEDICAID 037472500
District of Columbia MEDICAID 520703700
District of Columbia MEDICAID 010237432

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