Provider Demographics
NPI:1528371879
Name:TAMAKI, HIROMICHI
Entity Type:Individual
Prefix:
First Name:HIROMICHI
Middle Name:
Last Name:TAMAKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:# A50
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-5627
Mailing Address - Fax:216-445-7569
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:# A50
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-5627
Practice Address - Fax:216-445-7569
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program