Provider Demographics
NPI:1871583534
Name:NAKAZATO, PAUL Z (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:Z
Last Name:NAKAZATO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 64536
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728-4536
Mailing Address - Country:US
Mailing Address - Phone:520-326-3999
Mailing Address - Fax:520-529-6530
Practice Address - Street 1:2001 W ORANGE GROVE RD STE 504
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1141
Practice Address - Country:US
Practice Address - Phone:520-326-3999
Practice Address - Fax:520-529-6530
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2011-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ21265208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ74088Medicare PIN