Individual
TARO MINAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEMORIAL HOSPITAL OF RHODE ISLAND, 111 BREWSTER STREET, PAWTUCKET, RI 02860-4499
(401) 729-2636
(401) 729-2157
Mailing address
MEMORIAL HOSPITAL OF RHODE ISLAND, 111 BREWSTER STREET, PAWTUCKET, RI 02860-4499
(401) 729-2636
(401) 729-2157
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD13349
RI
207RP1001X
Pulmonary Disease Physician
MD13349
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001687501
MEDICARE PTAN
RI
05
—
110087821A
—
MA
05
—
TM81582
—
RI
Enumeration date
08/21/2006
Last updated
06/06/2014
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