Provider Demographics
NPI:1861958688
Name:ASAKURA, HIROYUKI (MD)
Entity type:Individual
Prefix:
First Name:HIROYUKI
Middle Name:
Last Name:ASAKURA
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 1:1-7-5F KAMIYAMA-CHO
Mailing Address - Street 2:KITA-KU
Mailing Address - City:OSAKA
Mailing Address - State:OSAKA
Mailing Address - Zip Code:5300026
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1-7-5F KAMIYAMA-CHO
Practice Address - Street 2:KITA-KU
Practice Address - City:OSAKA
Practice Address - State:OSAKA
Practice Address - Zip Code:5300026
Practice Address - Country:JP
Practice Address - Phone:066-311-2511
Practice Address - Fax:066-311-2531
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52282207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
300761OtherJAPAN MEDIAL LICENSE