Tanaka, Miho Jean

Tanaka, Miho Jean is an individual health care provider with primary practice located at 175 Cambridge St Fl 4 , Boston MA 02114-2743. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Tanaka, Miho Jean can be contacted via phone (617) 726-7500.

Contact Information

Primary practice address
175 Cambridge St Fl 4 Boston MA 02114-2743
Phone: (617) 726-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 279181 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 279181 Massachusetts

Profile Details

NPI number 1871630814
LBN Legal business name Tanaka, Miho Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 18th, 2019 - about 6 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 1871630814 NPPES
Massachusetts Other 279181 BOARD OF REGISTRATION IN MEDICINE

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