Doctor Name: | DR. MASAKO N WAKABAYASHI |
NPI Number: | 1336176635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 12963 |
Business Practice Address: | 2500 Belle Chasse Hwy Terrytown, LA - 700567127 |
Business Phone Number: | 5043915177 |
Business Fax Number: | |
Mailing Address: | 4629 Folse Dr, METAIRIE |
State: | LA |
Postal Code: | 700061230 |
Phone Number: | 5044554163 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 12963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |