Clifford Teruo Tanaka in Kaneohe - Internal Medicine

Clifford Teruo Tanaka - NPI 1700972452

Clifford Teruo Tanaka is a Internal Medicine in Kaneohe, Hawaii. Clifford Teruo Tanaka practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Clifford Teruo Tanaka is 1700972452. The last update date is 2007-07-08.

Clifford Teruo Tanaka's current location address is 46-001 Kamehameha Highway, Kaneohe, Hawaii. You can contact this provider via phone number 8082472255 and fax number 8082477642. The mailing address for Clifford Teruo Tanaka is 46-001 Kamehameha Highway, Kaneohe, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Clifford Teruo Tanaka
Address 46-001 Kamehameha Highway, Kaneohe, Hawaii
Phone Number 8082472255
Fax Number 8082477642
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1700972452
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 46-001 Kamehameha Highway
City Kaneohe
State Hawaii (HI)
Post Code 96744
Phone Number 8082472255
Fax Number 8082477642

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 5220
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A0021335 HI BLUE CROSS/SHIELD
1939201 HI --

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FAQs about Clifford Teruo Tanaka

What is the unique 10-digit identifier code assigned to Clifford Teruo Tanaka by the Centers for Medicare & Medicaid Services?

The Clifford Teruo Tanaka has been issued the NPI (National Provider Identifier) 1700972452 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Clifford Teruo Tanaka?

The Clifford Teruo Tanaka is physically situated at 46-001 Kamehameha Highway, in the city of Kaneohe, state of HI, with the postal code 96744.

What is Clifford Teruo Tanaka's specialized field of practice, and what is the corresponding taxonomy classification code?

The Clifford Teruo Tanaka's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1700972452 to Clifford Teruo Tanaka?

The Clifford Teruo Tanaka received its 1700972452 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.

When was the information pertaining to Clifford Teruo Tanaka most recently updated or revised?

The details related to Clifford Teruo Tanaka, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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