Shimotake, Thomas K.

Shimotake, Thomas K. is an individual health care provider with primary practice located at 505 Parnassus Ave 15Th Fl Icn , San Francisco CA 94143-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shimotake, Thomas K. can be contacted via phone (415) 353-1565.

Contact Information

Primary practice address
505 Parnassus Ave 15Th Fl Icn San Francisco CA 94143-0001
Phone: (415) 353-1565
Fax: (415) 476-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A83070 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A83070 California

Profile Details

NPI number 1336184670
LBN Legal business name Shimotake, Thomas K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jun 9th, 2008 - about 17 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 1336184670 NPPES
California MEDICAID 00A830700

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