Individual
AKIRA SHIOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3601
(215) 707-1576
Mailing address
2450 W HUNTING PARK AVE, 3RD FLOOR, PHILADELPHIA, PA 19129-1302
(215) 707-2433
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
LT000706
PA
2086S0129X
Vascular Surgery Physician
Primary
MD448163
PA
Other
Enumeration date
03/15/2011
Last updated
04/16/2013
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