Kenneth Kenji Tanabe in Boston - Surgery
Kenneth Kenji Tanabe - NPI 1164413613
Kenneth Kenji Tanabe is a Surgery in Boston, Massachusetts. Kenneth Kenji Tanabe practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth Kenji Tanabe is 1164413613. The last update date is 2012-11-06.
Kenneth Kenji Tanabe's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177243868 and fax number 6177243895. The mailing address for Kenneth Kenji Tanabe is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Kenji Tanabe |
|---|---|
| Address | 55 Fruit St, Boston, Massachusetts |
| Phone Number | 6177243868 |
| Fax Number | 6177243895 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164413613 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 55 Fruit St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142621 |
| Phone Number | 6177243868 |
| Fax Number | 6177243895 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 78104 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3114015 | MA | -- | |
| J13876 | MA | BCBS MA | |
| 78104 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Kenji Tanabe by the Centers for Medicare & Medicaid Services?
The Kenneth Kenji Tanabe has been issued the NPI (National Provider Identifier) 1164413613. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth Kenji Tanabe?
The Kenneth Kenji Tanabe is physically situated at 55 Fruit St, in the city of Boston, state of MA, with the postal code 21142621.
What is the area of specialization for Kenneth Kenji Tanabe, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Kenji Tanabe is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164413613 to Kenneth Kenji Tanabe?
The Kenneth Kenji Tanabe received its 1164413613 assignment from the Centers for Medicare & Medicaid Services on 2005-11-03.
When was the information pertaining to Kenneth Kenji Tanabe most recently updated or revised?
The details related to Kenneth Kenji Tanabe, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-06.
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