Miss. Jiju Kawasaki
Miss. Jiju Kawasaki is a Physician Assistant in Baltimore, Maryland. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Maryland.
- Years since qualifying
- 3
- Licensed in
- MD
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
900 Caton AveBaltimore, MD 21229-5201
Phone: (667) 234-8903
Fax: (667) 234-3382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C09007 (MD) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence C09007 (MD) |
Record details
| NPI number | 1962185306 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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