IndividualActive
Shoichiro Tanaka, MD
NPI 1639436199 · Plastic Surgery Physician · New Orleans, LA
Provider details
- NPI number
- 1639436199
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 207182 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone: (504) 842-4070
Fax: (504) 842-3124
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.