Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jeremy Etadashi Haru Fukushima, DO

Individual provider Nephrology Physician · NPI 1811691868

Jeremy Etadashi Haru Fukushima, DO is a Nephrology Physician in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 012353 (AZ)

Record details

NPI number1811691868
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

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