Individual
DR. NORIFUSA JOHN ANEGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
13015
HI
2084N0400X
Neurology Physician
Primary
G85366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000252148
HMSA PROVIDER ID
HI
01
—
010825661
CHAMP VA PROVIDER ID
HI
05
—
100372
—
HI
01
—
P00233290
RAILROAD MEDICARE ID
HI
Enumeration date
11/16/2006
Last updated
07/23/2007
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