Provider Demographics
NPI:1528051927
Name:TOGAMI, JULIA CLAUDIE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CLAUDIE
Last Name:TOGAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:CLAUDIE
Other - Last Name:COPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1920 MALVERN AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7752
Mailing Address - Country:US
Mailing Address - Phone:501-321-1314
Mailing Address - Fax:501-321-1810
Practice Address - Street 1:1920 MALVERN AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7752
Practice Address - Country:US
Practice Address - Phone:501-321-1314
Practice Address - Fax:501-321-1810
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3838208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR150223001Medicaid
G29906Medicare UPIN