Gulliermo J Tanaka
Medical Specialty
Professional ID
- NPI: 1124033055
- PECOS ID: 0749280782
- Enrollment ID: I20061222000169
- Credential(MD, DO, DPM): MD
- Medical School: Tulane University School Of Medicine
- Medical School Graduation Year: 1995
Hospital Service
- Hospital CCN1: 250048
- Business Name (LBN)1: St Dominic-jackson Memorial Hospital
- Hospital CCN2: 250031
- Business Name (LBN)2: Merit Health River Region
- Hospital CCN3: 250097
- Business Name (LBN)3: Southwest Ms Regional Medical Center
- Hospital CCN4: 250057
- Business Name (LBN)4: Kings Daughters Medical Center-brookhaven
- Hospital CCN5: 251305
- Business Name (LBN)5: Lawrence County Hospital Cah
Medical Practices
- Organization Name: Lakeland Radiologists, Pa
- Group Practice ID assigned by PECOS: 4183683089
- Number of Group Practice member: 19
Location
- Address1: 106 Highland Way
- Address2:
- City: Madison
- State: Mississippi
- Zip Code: 39110
- Phone Number: (601)200-2000
Location
- Address1: 1065 E Broad St
- Address2:
- City: Monticello
- State: Mississippi
- Zip Code: 39654
- Phone Number: (601)587-4051
Location
- Address1: 2100 Hwy 61 N
- Address2:
- City: Vicksburg
- State: Mississippi
- Zip Code: 39183
- Phone Number: (662)883-5811
Location
- Address1: 215 Marion Ave
- Address2:
- City: Mccomb
- State: Mississippi
- Zip Code: 39648
- Phone Number: (601)249-1553
Location
- Address1: 969 Lakeland Dr
- Address2:
- City: Jackson
- State: Mississippi
- Zip Code: 39216
- Phone Number: (601)200-2000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):