Individual
DR. MICHITAKA KAWATA
Active
Individual
DR. MICHITAKA KAWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
65773
WI
208600000X
Surgery Physician
MA08835400
NJ
208C00000X
Colon & Rectal Surgery Physician
25MA08835400
NJ
208C00000X
Colon & Rectal Surgery Physician
Primary
65773
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA08835400
STATE LICENSE
NJ
Enumeration date
07/07/2009
Last updated
06/29/2016
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