Provider Demographics
NPI:1780710483
Name:NARITA, MASASHI (MD)
Entity type:Individual
Prefix:DR
First Name:MASASHI
Middle Name:
Last Name:NARITA
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 1:1011 N NEGLEY AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1547
Mailing Address - Country:US
Mailing Address - Phone:412-363-5140
Mailing Address - Fax:412-363-5140
Practice Address - Street 1:1011 N NEGLEY AVE APT 9
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1547
Practice Address - Country:US
Practice Address - Phone:412-363-5140
Practice Address - Fax:412-363-5140
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT183377390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program