Individual
KOICHI MAEDA
Active
Individual
KOICHI MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
034888
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
034888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KM034888
CHAMPUS-CHAMPUS
—
Enumeration date
01/08/2007
Last updated
09/11/2025
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