Tanaka, Iwao K.

Tanaka, Iwao K. is an individual health care provider with primary practice located at 700 High St , Williamsport PA 17701-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tanaka, Iwao K. can be contacted via phone (570) 322-1161.

Contact Information

Primary practice address
700 High St Williamsport PA 17701-3100
Phone: (570) 322-1161
Fax: (570) 322-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 245925 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD444860 Pennsylvania

Profile Details

NPI number 1730491192
LBN Legal business name Tanaka, Iwao K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Nov 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730491192 NPPES
Pennsylvania MEDICAID 1027220260001

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