Individual
DR. AKIRA A SHISHIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE STE 3060N, HAWTHORNE, NY 10532-2180
(914) 372-7997
Mailing address
19 BRADHURST AVE STE 3060N, HAWTHORNE, NY 10532-2180
(914) 372-7997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257058
VA
207RI0200X
Infectious Disease Physician
Primary
0101257058
VA
Other
Enumeration date
06/23/2013
Last updated
06/30/2025
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