Provider Demographics
NPI:1669367736
Name:SHIMOZONO, KOMEI (MD)
Entity type:Individual
Prefix:MR
First Name:KOMEI
Middle Name:
Last Name:SHIMOZONO
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 1:6-1 OGUCHI STREET MAISON KAYAGIYA 201
Mailing Address - Street 2:
Mailing Address - City:YOKOHAMA
Mailing Address - State:KANAGAWA
Mailing Address - Zip Code:2210002
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6-1 OGUCHI STREET MAISON KAYAGIYA 201
Practice Address - Street 2:
Practice Address - City:YOKOHAMA
Practice Address - State:KANAGAWA
Practice Address - Zip Code:2210002
Practice Address - Country:JP
Practice Address - Phone:819-067-7671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program