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

TAKAHISA KOIDE, PA

Active

TAKAHISA KOIDE, PA is a Physician Assistant healthcare provider located in NAMPA, Idaho. NPI 1508514456 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NAMPA, ID

Registration Details

NPI Number
1508514456
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2022 (4.3853395485232 yrs)
Last Updated
Mar 10, 2022
License
PA-2208 (ID)

Practice Information

Address
700 CALDWELL BLVD
NAMPA, ID, 836511707
Browse ID providers · Browse ZIP 83651
Phone
2084666567
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NAMPA, ID

Name Credential NPI
THEA HEATON PA-C 1811998628
STACY I SUMMA PA C 1295722478
MR. SETH ALAN PERMANN PA-C 1508855974
MICHAEL D WHITE PA-C 1780673707
WILLIAM HATCH PA 1609865633
TERRI C JONES PA 1336138361
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.