Tanaka, Shoichiro Alberto

Tanaka, Shoichiro Alberto is an individual health care provider with primary practice located at 2 Memorial Dr Div Surg Plastics, Ste 101, Alton IL 62002-6723. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Tanaka, Shoichiro Alberto can be contacted via phone (618) 433-6131.

Contact Information

Primary practice address
2 Memorial Dr Div Surg Plastics, Ste 101 Alton IL 62002-6723
Phone: (618) 433-6131
Fax: (618) 433-6128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036155527 Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036155527 Illinois
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 036155527 Illinois

Profile Details

NPI number 1639436199
LBN Legal business name Tanaka, Shoichiro Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Nov 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639436199 NPPES
Missouri MEDICAID 2000952542

Popular Providers