Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gen Tanaka, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245511765

Gen Tanaka, MD is a Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

940 Belmont St Psychiatry 116A7
Brockton, MA 02301-5596
Phone: (774) 826-2458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 248497 (MA)

Record details

NPI number1245511765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2011
Last updated in NPPESAugust 30, 2011
Mailing address75 Donald St, Apt 58, Weymouth, MA 02188-3962

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