Minami, Carl Masao

Minami, Carl Masao is an individual health care provider with primary practice located at 2305 Chambliss Ave Nw , Cleveland TN 37311-3847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Minami, Carl Masao can be contacted via phone (615) 695-4977.

Contact Information

Primary practice address
2305 Chambliss Ave Nw Cleveland TN 37311-3847
Phone: (615) 695-4977
Fax: (615) 263-3348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000037197 Tennessee
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD0000037197 Tennessee

Profile Details

NPI number 1710975685
LBN Legal business name Minami, Carl Masao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710975685 NPPES
Tennessee MEDICAID Q026402

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