Kawai, Tatsuo
Kawai, Tatsuo is an individual health care provider with primary practice located at 55 Fruit Street Wht 510B, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Kawai, Tatsuo can be contacted via phone (617) 724-9996.Contact Information
Primary practice address
55 Fruit Street Wht 510B
Boston MA 02114-2696
Phone: (617) 724-9996
Fax: (617) 726-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 208430 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 208430 | Massachusetts |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 042.0012768 | Vermont |
Profile Details
| NPI number | 1285656314 |
|---|---|
| LBN Legal business name | Kawai, Tatsuo |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Sep 24th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285656314 | NPPES |
| Massachusetts | Other | J24185 | BCBS MA |
| Massachusetts | MEDICAID | 0153851 | BCBS MA |
| Massachusetts | Other | 208430 | BCBS MA |
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