Dr. Tad Nishimura, M.D.
Anesthesiology in Redwood City, CA. Individual provider (NPI-1).
NPI number1720161672
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161672
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tad Nishimura
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A23652 | CA | Yes |
Practice location
170 Alameda De Las Pulgas#105
Redwood City, CA 94062-2751
Phone 650-367-5992
Mailing address
700 Irwin St#102
San Rafael, CA 94901-3339
Phone 415-460-9927
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