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Michael Tanael, MD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1508398587

Michael Tanael is a Student in an Organized Health Care Education/Training Program based in Maxwell Afb, MS. Michael Tanael practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Michael Tanael is 1508398587 and holds a License No. 37520 (Mississippi).

The current practice location address for Michael Tanael is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-1779. You can also correspond with Michael Tanael through the mailing address at 300 TWINING ST, MAXWELL AFB, AL - 36112-6027 (mailing address contact number: 334-918-3328).

Location: 2500 N State St, Jackson, MS, 36112-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508398587
Provider Name
Michael Tanael
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 36112-6027
Phone Number
601-815-1779
Fax Number
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-815-1779
Fax Number
person
Provider Business Mailing Address Details
Address
300 Twining St
City
Maxwell Afb
State
Alabama
Zip
36112-6027
Phone Number
334-918-3328
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
37520 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
37520 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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