Tashiro, Ken Mark

Tashiro, Ken Mark is an individual health care provider with primary practice located at 1050 W Perimeter Rd 79Th Mdg Malcolm Grow Medical Center, Andrews Afb MD 20762-6601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tashiro, Ken Mark can be contacted via phone (240) 857-4530.

Contact Information

Primary practice address
1050 W Perimeter Rd 79Th Mdg Malcolm Grow Medical Center Andrews Afb MD 20762-6601
Phone: (240) 857-4530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036188A Indiana
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 01036188A Indiana

Profile Details

NPI number 1194874578
LBN Legal business name Tashiro, Ken Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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