Shotaro Imaizumi, MD in Wynnewood, PA - Pathology

Shotaro Imaizumi, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Wynnewood, Pennsylvania. Shotaro Imaizumi is licensed to practice in Pennsylvania (license number MD026155E) and his current practice location is 100 E Lancaster Ave, Wynnewood, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (610) 645-2613.

NPI number for Shotaro Imaizumi is 1114906302 and his current mailing address is 100 E Lancaster Ave, Wynnewood, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114906302.

Contact Information

	Shotaro Imaizumi, MD
	100 E Lancaster Ave, Wynnewood, PA 19096-3450
	(610) 645-2613
	Not Available

Physician's Profile

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.

NPI Data:

NPI Number: 1114906302
Provider Enumeration Date: 01/16/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Shotaro Imaizumi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114906302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD026155E (Pennsylvania)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shotaro Imaizumi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Pathology Doctors in Wynnewood, PA

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

Shotaro Imaizumi, MD - Pathology in Wynnewood, PA