GRANT MANABU HANJIN SHINAGAWA NPI 1073180170

NPI Information

  • NPI: 1073180170
  • Provider Name: GRANT MANABU HANJIN SHINAGAWA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 901 S COUNTRY CLUB DR APT 1052
    MESA, AZ
    ZIP 85210
  • Phone: (607) 280-8654

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NPI Details

Grant Manabu Hanjin Shinagawa is a student in an organized health care education training program in Mesa, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Grant Manabu Hanjin Shinagawa NPI is 1073180170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 S COUNTRY CLUB DR APT 1052
MESA, AZ
ZIP 85210-548
Phone: (607) 280-8654

The enumeration date for this NPI number is 6/7/2021 and was last updated on 6/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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