Mark Makoto Tanaka in San Leandro - Emergency Medicine
Mark Makoto Tanaka - NPI 1104904960
Mark Makoto Tanaka is a Emergency Medicine in San Leandro, California. Mark Makoto Tanaka practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark Makoto Tanaka is 1104904960. The last update date is 2021-12-09.
Mark Makoto Tanaka's current location address is 2500 Merced St, San Leandro, California. You can contact this provider via phone number 5104541000. The mailing address for Mark Makoto Tanaka is 2500 Merced St, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Makoto Tanaka |
|---|---|
| Address | 2500 Merced St, San Leandro, California |
| Phone Number | 5104541000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104904960 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | 2500 Merced St |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945774201 |
| Phone Number | 5104541000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | A83467 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A834670 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Makoto Tanaka by the Centers for Medicare & Medicaid Services?
The Mark Makoto Tanaka has been assigned the NPI (National Provider Identifier) 1104904960 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark Makoto Tanaka is physically located?
The Mark Makoto Tanaka is situated at the following address: 2500 Merced St, San Leandro, CA 945774201.
What is Mark Makoto Tanaka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Makoto Tanaka is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104904960 to Mark Makoto Tanaka?
The Centers for Medicare & Medicaid Services originally issued the 1104904960 to Mark Makoto Tanaka on 2006-11-01.
When was the information related to Mark Makoto Tanaka most recently updated or refreshed?
The details pertaining to the Mark Makoto Tanaka, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-09.