| Shotaro Imaizumi, MD | |
|
100 E Lancaster Ave, Wynnewood, PA 19096-3450 | |
| (610) 645-2613 | |
| Not Available |
| Full Name | Shotaro Imaizumi |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114906302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD026155E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shotaro Imaizumi, MD 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (610) 645-2613 | Shotaro Imaizumi, MD 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (610) 645-2613 |
Edina Grujic, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Walter M Klein, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Pathology Dept, Lankenau Hospital, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Joseph P Horstmann, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Ila M Peterson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-8013 | |
Richard Hagedorn Ochs, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Pradeep K Bhagat, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 215-487-4398 Fax: 215-487-4349 |