Minami, Taro

Minami, Taro is an individual health care provider with primary practice located at Memorial Hospital Of Rhode Island 111 Brewster Street, Pawtucket RI 02860-4499. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Minami, Taro can be contacted via phone (401) 729-2636.

Contact Information

Primary practice address
Memorial Hospital Of Rhode Island 111 Brewster Street Pawtucket RI 02860-4499
Phone: (401) 729-2636
Fax: (401) 729-2157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD13349 Rhode Island
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD13349 Rhode Island

Profile Details

NPI number 1538275854
LBN Legal business name Minami, Taro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 6th, 2014 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538275854 NPPES
Massachusetts MEDICAID 110087821A
Massachusetts Other 001687501
Massachusetts MEDICAID TM81582

Popular Providers