Individual provider · Type 1 NPI

Guillermo Javier Tanaka, M. D.

Vascular & Interventional Radiology Physician · Jackson, MS

NPI number 1124033055 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Call (877) 406-2916 Map

Fax (601) 682-7909

Mailing address

PO Box 55769
Jackson, MS 39296-5769

Other practice locations

  • 433 Plaza St, Bogalusa, LA 70427-3729 · (985) 730-6803

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X16799 (MS)
Vascular & Interventional Radiology Physician 2085R0204X16799 (LA)
Vascular & Interventional Radiology Physician Primary 2085R0204XMD.022779 (LA)
Diagnostic Radiology Physician 2085R0202X022779 (LA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

174 other providers at this address

Other vascular & interventional radiology physician providers in Jackson

See all in Jackson →

About NPI 1124033055

Guillermo Javier Tanaka, M. D.'s National Provider Identifier is 1124033055, issued on Jul 29, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Jackson, MS. The record was last updated on Nov 2, 2026.