Individual
RYOMA TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8TH AVENUE & C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-3661
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5166087-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5166087-1205
UT
207RP1001X
Pulmonary Disease Physician
5166087-1205
UT
Other
Enumeration date
09/20/2007
Last updated
01/29/2026
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