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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HARUKI ISHII, MD

Active

HARUKI ISHII, MD is a Sports Medicine (PM&R) healthcare provider located in BROOKHAVEN, Georgia. NPI 1063905834 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · BROOKHAVEN, GA

Registration Details

NPI Number
1063905834
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2018 (8.1950692233193 yrs)
Last Updated
Jul 1, 2023
Licenses
010056 (NY)
010056 (GA)
95121 (GA)

Practice Information

Address
1968 HAWKS LN NE
BROOKHAVEN, GA, 303292283
Browse GA providers · Browse ZIP 30329
Phone
4047787142
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Internal Medicine
Additional Specialty
Sports Medicine (PM&R)

Other Sports Medicine (PM&R) Providers in BROOKHAVEN, GA

Name Credential NPI
EZIAMAKA OBUNADIKE M.D. 1942554936
DEVON THOMAS SHANNON 1932789815
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.