Individual provider · Type 1 NPI

Tatsuya Watanabe, MD, PhD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1295651644 Active

Practice location

111 S 11th St
Philadelphia, PA 19107-4870

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLT001131 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295651644

Tatsuya Watanabe, MD, PhD's National Provider Identifier is 1295651644, issued on Jun 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 29, 2026.