# KOICHI NOMOTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881854404
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 003454 | NY | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 003454 | NY | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 43864 | OK | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 003454 | NY | — |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 02/05/2025