Individual provider · NPI-1
Dr. Tadashi Leonard Allen, M.D.
Radiology, Diagnostic Radiology · Minneapolis, MN
NPI number1700925864
StatusActive
Last updated in NPPESAug 13, 2007
Details
- NPI
- 1700925864
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tadashi Leonard Allen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Aug 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 49479 | MN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
420 Delaware St SeRoom B-211 Mayo, Mmc 292
Minneapolis, MN 55455-0341
Phone 612-626-5566 · Fax 612-626-5505
Mailing address
5970 W 16th St719
Saint Louis Park, MN 55416-1454
Phone 952-544-6573
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