Individual
ISSEI KOMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9104 BABCOCK BLVD, SUITE 5113, PITTSBURGH, PA 15237-5818
(412) 748-7444
(412) 748-7452
Mailing address
2 HOT METAL ST, QUANTUM ONE, SUITE 001, PITTSBURGH, PA 15203-2348
(412) 432-5869
(412) 432-5640
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD451574
PA
207X00000X
Orthopaedic Surgery Physician
Primary
MD61134797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029592230001
—
PA
01
—
3086526
HIGHMARK
PA
Enumeration date
08/02/2014
Last updated
08/19/2021
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