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:
Health care specialties
Specialty | Code | License # | 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 18 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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