Provider Demographics
NPI:1972626109
Name:JONES, AKANE CRISTINA TANAKA (MD)
Entity type:Individual
Prefix:
First Name:AKANE
Middle Name:CRISTINA TANAKA
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AKANE
Other - Middle Name:CRISTINA
Other - Last Name:TANAKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10062 SANGER DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-8381
Mailing Address - Country:US
Mailing Address - Phone:317-537-7996
Mailing Address - Fax:
Practice Address - Street 1:10062 SANGER DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-8381
Practice Address - Country:US
Practice Address - Phone:317-537-7996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01088948A208000000X
WAMD 60215624208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics