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

Michael Tanael, MD

Individual provider Independent Duty Corpsman · NPI 1508398587

Michael Tanael, MD is an Independent Duty Corpsman in Jackson, Mississippi. Licensed in Alabama. Registered with an NPI since 2017.

Licensed in
AL
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-1779
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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
Independent Duty Corpsman Taxonomy 1710I1002X · Licence 37520 (AL)
General Practice Physician Taxonomy 208D00000X · Licence 37520 (AL)

Record details

NPI number1508398587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESJuly 24, 2023
Certification dateJuly 22, 2023
Mailing address300 Twining St, Maxwell Afb, AL 36112-6027