Basic Information
Provider Information
NPI: 1407080831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAITO
FirstName: KEIKO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 275 CROSSROADS BLVD
Address2: A
City: CARMEL
State: CA
PostalCode: 939238684
CountryCode: US
TelephoneNumber: 8317189701
FaxNumber: 8318861529
Practice Location
Address1: 275 CROSSROADS BLVD
Address2: A
City: CARMEL
State: CA
PostalCode: 939238684
CountryCode: US
TelephoneNumber: 8317189701
FaxNumber: 8318861529
Other Information
ProviderEnumerationDate: 05/13/2009
LastUpdateDate: 03/30/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA125846CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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