Individual
HOWARD COOPER MASUOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C184254
CA
207RG0100X
Gastroenterology Physician
01069938A
IN
207RG0100X
Gastroenterology Physician
Primary
C184254
CA
207RT0003X
Transplant Hepatology Physician
01069938A
IN
207RT0003X
Transplant Hepatology Physician
C184254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000725536
ANTHEM PTAN
IN
05
—
201029030
—
IN
05
—
440002000
—
MN
01
—
P01047076
RAILROAD PTAN
IN
Enumeration date
01/05/2007
Last updated
02/06/2025
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