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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TATSUYA WATANABE MD, PHD
NPI 1295651644
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 29, 2026
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6000 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tatsuya Watanabe Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATSUYA WATANABE MD, PHD (NPI 1295651644) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (LT001131) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1295651644
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTATSUYA WATANABECredential: MD, PHD
Location Address111 S 11TH STPhiladelphia, PA 19107-4870
Mailing Address111 S 11th StPhiladelphia, PA 19107-4870 · (215) 955-6000
Phone(215) 955-6000
Sole ProprietorNo
Enumeration DateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1295651644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · LT001131
Definition

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.

111 S 11TH ST, Philadelphia, PA 19107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatsuya Watanabe's NPI number?

The NPI number for Tatsuya Watanabe is 1295651644. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Tatsuya Watanabe located?

Tatsuya Watanabe practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.

What is Tatsuya Watanabe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tatsuya Watanabe was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.